| Park Place Behavioral Health Care | |
|
200 Park Place Blvd Kissimmee FL 34741-2344 | |
| (407) 846-0023 | |
| (407) 483-1064 |
| Full Name | Park Place Behavioral Health Care |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 200 Park Place Blvd, Kissimmee, Florida |
| Authorized Official Name and Position | James A Shanks (PRESIDENT/CEO) |
| Authorized Official Contact | 4078460023 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Place Behavioral Health Care 200 Park Place Blvd Kissimmee FL 34741-2344 Ph: (407) 846-0023 | Park Place Behavioral Health Care 200 Park Place Blvd Kissimmee FL 34741-2344 Ph: (407) 846-0023 |
| NPI Number | 1336583574 |
|---|---|
| Provider Enumeration Date | 04/18/2013 |
| Last Update Date | 04/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336583574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 8503 (Florida) | Primary |
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