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Organization
POINCIANA BEHAVIORAL HEALTH CLINIC, INC.
Active
Organization
POINCIANA BEHAVIORAL HEALTH CLINIC, INC.
Active
Other names
Poinciana Behavioral Health Clinic, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
EULADIA MERCADO BSN/RN (OWNER)
(407) 572-8862
Entity
Organization
Contact information
Practice address
2068 E OSCEOLA PKWY, KISSIMMEE, FL 34743-8602
(407) 483-3939
(407) 449-4321
Mailing address
PO BOX 584792, KISSIMMEE, FL 34758
(407) 483-3939
(407) 449-4321
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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