Organization
CENTER FOR DRUG FREE LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON MARIE OLESEN LCSW (HOUSING CASE MANAGER)
(407) 245-0020
Entity
Organization
Contact information
Practice address
1405 W MICHIGAN ST, ORLANDO, FL 32805-6123
(407) 245-0020
(407) 650-6208
Mailing address
1405 W MICHIGAN ST, ORLANDO, FL 32805-6123
(407) 245-0020
(407) 650-6208
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
SW 10825
FL
Other
Enumeration date
02/28/2013
Last updated
02/28/2013
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