| Key Of Light Troubled Teen Services | |
|
10759 Emerald Chase Dr Orlando FL 32836-5876 | |
| (828) 777-9428 | |
| Not Available |
| Full Name | Key Of Light Troubled Teen Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10759 Emerald Chase Dr, Orlando, Florida |
| Authorized Official Name and Position | Jennifer Del-giudice (OWNER) |
| Authorized Official Contact | 8287779428 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Key Of Light Troubled Teen Services 9525 Castleford Pt Orlando FL 32836-5766 Ph: () - | Key Of Light Troubled Teen Services 10759 Emerald Chase Dr Orlando FL 32836-5876 Ph: (828) 777-9428 |
| NPI Number | 1073977393 |
|---|---|
| Provider Enumeration Date | 04/12/2016 |
| Last Update Date | 04/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073977393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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