| Community Initiatives, Inc. | |
|
4001 Pelee St Orlando FL 32817-3100 | |
| (321) 441-2060 | |
| (407) 681-0560 |
| Full Name | Community Initiatives, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4001 Pelee St, Orlando, Florida |
| Authorized Official Name and Position | Glen Casel (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3214412060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Initiatives, Inc. 4001 Pelee St Orlando FL 32817-3100 Ph: (321) 441-2060 | Community Initiatives, Inc. 4001 Pelee St Orlando FL 32817-3100 Ph: (321) 441-2060 |
| NPI Number | 1053706879 |
|---|---|
| Provider Enumeration Date | 03/30/2015 |
| Last Update Date | 03/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053706879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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