Organization
SEL MENTAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EBONY ROBINSON-MIZELL B.S, J.D. (TARGETED CASE MANAGER)
(407) 701-6619
Entity
Organization
Contact information
Practice address
4402 HAYLOCK DR, ORLANDO, FL 32807-1010
(407) 701-6619
Mailing address
4402 HAYLOCK DR, ORLANDO, FL 32807-1010
(407) 701-6619
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/07/2013
Last updated
10/07/2013
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