NPI 1093041154

Center for Independent Living in Central Florida

Organisation Community/Behavioral Health Agency Winter Park, FL

Practice location

Address: 720 N. Denning Dr., Winter Park, FL 32789
Phone: (407) 623-1070
Fax: (407) 623-1390

Authorised official

Name: Tina P Jack
Title: Mental Health Counselor
Phone: (407) 623-1070

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence MH8933 (FL)

Other Community/Behavioral Health providers in Florida →

Registry record

NPI: 1093041154
Entity type: Organization
NPI issued: 26 Oct 2009
Record last updated: 26 Oct 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.