| Community Life Development | |
|
225 S Swoope Ave Suite 100 Maitland FL 32751-5704 | |
| (407) 790-4927 | |
| (407) 790-4928 |
| Full Name | Community Life Development |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 225 S Swoope Ave, Maitland, Florida |
| Authorized Official Name and Position | Monica Diane James (CEO/PRESIDENT) |
| Authorized Official Contact | 4077904927 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Life Development P.o Box 222 Goldenrod FL 32733 Ph: (407) 790-4927 | Community Life Development 225 S Swoope Ave Suite 100 Maitland FL 32751-5704 Ph: (407) 790-4927 |
| NPI Number | 1558622431 |
|---|---|
| Provider Enumeration Date | 06/06/2012 |
| Last Update Date | 10/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558622431 | NPI | - | NPPES |
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