Organization
AKESO BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANA CARROZZA MA (OWNER)
(407) 325-2235
Entity
Organization
Contact information
Practice address
6100 LAKE ELLENOR DR, #212, ORLANDO, FL 32809-4614
(407) 325-2235
Mailing address
6100 LAKE ELLENOR DR STE 212, ORLANDO, FL 32809-4632
(407) 325-2235
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
Other
Enumeration date
12/15/2016
Last updated
11/21/2017
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