| Ship Community Development Corporation | |
|
5222 Andrus Ave Ste D Orlando FL 32810-5456 | |
| (407) 745-5022 | |
| Not Available |
| Full Name | Ship Community Development Corporation |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5222 Andrus Ave Ste D, Orlando, Florida |
| Authorized Official Name and Position | Omusi Ranger (PRESIDENT) |
| Authorized Official Contact | 4076830177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ship Community Development Corporation 5222 Andrus Ave Ste D Orlando FL 32810-5456 Ph: (407) 745-5022 | Ship Community Development Corporation 5222 Andrus Ave Ste D Orlando FL 32810-5456 Ph: (407) 745-5022 |
| NPI Number | 1770394736 |
|---|---|
| Provider Enumeration Date | 01/17/2025 |
| Last Update Date | 01/17/2025 |
| Certification Date | 01/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770394736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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