| Latino Leadership, Inc. Dba Santiago & Friends | |
|
319 W Oak St Kissimmee FL 34741-4421 | |
| (407) 895-0801 | |
| (407) 895-0803 |
| Full Name | Latino Leadership, Inc. Dba Santiago & Friends |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 319 W Oak St, Kissimmee, Florida |
| Authorized Official Name and Position | Marucci Guzman (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4078950801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Latino Leadership, Inc. Dba Santiago & Friends 8617 E Colonial Dr Ste 1600 Orlando FL 32817-3937 Ph: (407) 895-0801 | Latino Leadership, Inc. Dba Santiago & Friends 319 W Oak St Kissimmee FL 34741-4421 Ph: (407) 895-0801 |
| NPI Number | 1629783386 |
|---|---|
| Provider Enumeration Date | 01/17/2023 |
| Last Update Date | 02/27/2023 |
| Certification Date | 02/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629783386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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