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Organization

BEHAVIORAL SUPPORT SERVICES INC

Active
Parent organization
BEHAVIORAL SUPPORT SERVICES INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
BEHAVIORAL SUPPORT SERVICES INC
Authorized official
MRS. JENNIFER ROSARIO MP (BEHAVIORAL COUNSELOR)
(386) 215-7830
Entity
Organization

Contact information

Practice address
315 N LAKEMONT AVE STE B, WINTER PARK, FL 32792-3205
(386) 215-7830
(407) 830-8413
Mailing address
1394 DUNLAWTON AVE APT 805, PORT ORANGE, FL 32127-4762
(386) 215-7830
(407) 830-8413

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary

Other

Enumeration date
07/11/2012
Last updated
07/11/2012
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