Organization
KYNGDOM SERVICES TCM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE E RIVERS (OWNER)
(407) 674-8988
Entity
Organization
Contact information
Practice address
750 S ORANGE BLOSSOM TRL STE 226, ORLANDO, FL 32805-3195
(407) 674-8988
Mailing address
750 S ORANGE BLOSSOM TRL STE 226, ORLANDO, FL 32805-3195
(407) 674-8988
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/12/2014
Last updated
03/25/2015
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