Organization
BEAUTIFUL MINDS TARGETED CASE MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVENA SHABAZZ CBHCMS (EXECUTIVE DIRECTOR)
(407) 470-3630
Entity
Organization
Contact information
Practice address
2860 SAINT AUGUSTINE DR, ORLANDO, FL 32825-7140
(407) 470-3630
(407) 270-5935
Mailing address
2860 SAINT AUGUSTINE DR, ORLANDO, FL 32825-7140
(407) 470-3630
(407) 270-5935
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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