| Optimum Potential Community Services Llc | |
|
120 Broadway Ste 306 Kissimmee FL 34741-5706 | |
| (407) 201-6577 | |
| (407) 350-3425 |
| Full Name | Optimum Potential Community Services Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 120 Broadway Ste 306, Kissimmee, Florida |
| Authorized Official Name and Position | Lucille Thomas (CEO) |
| Authorized Official Contact | 3213339197 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimum Potential Community Services Llc 120 Broadway Ste 306 Kissimmee FL 34741-5706 Ph: (407) 201-6577 | Optimum Potential Community Services Llc 120 Broadway Ste 306 Kissimmee FL 34741-5706 Ph: (407) 201-6577 |
| NPI Number | 1306363783 |
|---|---|
| Provider Enumeration Date | 08/25/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306363783 | NPI | - | NPPES |
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