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Organization

CAMELOT COMMUNITY CARE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JANA ALLEN (DIRECTOR OF AR)
(727) 593-0003
Entity
Organization

Contact information

Practice address
4910 CREEKSIDE DR STE D, CLEARWATER, FL 33760-4034
(727) 593-0003
Mailing address
4910 CREEKSIDE DR STE D, CLEARWATER, FL 33760-4034
(727) 593-0003

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
070852600
FL
Enumeration date
08/19/2021
Last updated
08/19/2021
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