Organization
BEHAVIOR SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROLANDO FOURCAND (PSYCHO REHABILITIION SPECIALIST)
(407) 937-8456
Entity
Organization
Contact information
Practice address
2524 CAPER LN APT 204, MAITLAND, FL 32751-6027
(407) 937-8456
Mailing address
801 DOUGLAS AVE, ALTAMONTE SPRINGS, FL 32714-5206
(407) 335-4787
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
FL
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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