# OPTUMUMHEALTHOUTCOMES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558785253
- **Authorized official:** TIMOTHY EDWARDS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (407) 394-7181

## Contact information

- **Practice address:** 5104 N ORANGE BLOSSOM TRL, SUITE 108, ORLANDO, FL 32810-1042
- **Practice address phone:** (407) 394-7181
- **Practice address fax:** (810) 222-6666
- **Mailing address:** 4531 ARCH ST, ORLANDO, FL 32808-7805
- **Mailing address phone:** (407) 394-7181
- **Mailing address fax:** (810) 222-6666

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 02/16/2014
- **Last updated:** 09/22/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 109752000 | — | FL |