| Community Flourishing Initiative | |
|
910 S Winter Park Dr Casselberry FL 32707-5438 | |
| (407) 740-0561 | |
| Not Available |
| Full Name | Community Flourishing Initiative |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 910 S Winter Park Dr, Casselberry, Florida |
| Authorized Official Name and Position | Patrick Shane Kohout (PRESIDENT) |
| Authorized Official Contact | 4077400561 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Flourishing Initiative 910 S Winter Park Dr Casselberry FL 32707-5438 Ph: (407) 740-0561 | Community Flourishing Initiative 910 S Winter Park Dr Casselberry FL 32707-5438 Ph: (407) 740-0561 |
| NPI Number | 1184446379 |
|---|---|
| Provider Enumeration Date | 10/29/2024 |
| Last Update Date | 10/29/2024 |
| Certification Date | 10/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184446379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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