Organization
PURPLE CACTUS, LLC
Active
Organization
PURPLE CACTUS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI L. CHINLUND MSW (OWNER/DIRECTOR)
(407) 625-0808
Entity
Organization
Contact information
Practice address
2515 OLD KENT CIRCLE, KISSIMMEE, FL 34758
(407) 625-0808
Mailing address
PO BOX 26, INTERCESSION CITY, FL 33848-0026
(407) 625-0808
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/01/2013
Last updated
02/27/2014
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