Organization
PARENT SUPPORT, LLC
Active
Other names
CARES Treatment
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICKKI-ANN S. SAMUEL M.D. (MEDICAL DIRECTOR)
(407) 901-4000
Entity
Organization
Contact information
Practice address
2 TOWER CENTER BLVD, 19TH FLOOR SUITE 1901, EAST BRUNSWICK, NJ 08816-1100
(407) 901-4000
(407) 930-4830
Mailing address
3218 EAGLE WATCH DR, KISSIMMEE, FL 34746-3138
(407) 901-4000
(407) 930-4830
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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