Organization
ABOVE AND BEYOND: CHILDREN & COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRICIA TEAL (EXECUTIVE DIRECTOR)
(407) 492-8770
Entity
Organization
Contact information
Practice address
705 W 1ST ST, SANFORD, FL 32771-1121
(407) 492-8770
Mailing address
2575 WESTMINSTER TER, OVIEDO, FL 32765-7568
(407) 492-8770
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017116000
—
FL
Enumeration date
06/15/2012
Last updated
05/10/2017
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