Organization
CJA BEHAVIORAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH RIVERA (HUMAN RESOURCES SPECIALIST)
(407) 483-9520
Entity
Organization
Contact information
Practice address
809 E OAK ST STE 106, KISSIMMEE, FL 34744-5834
(407) 483-9520
Mailing address
809 E OAK ST STE 106, KISSIMMEE, FL 34744-5834
(407) 483-9520
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
IMH 2919
FL
Other
Enumeration date
02/03/2014
Last updated
02/03/2014
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