Organization
NYOKA PLACE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NYOKA MALCOLM (EXECUTIVE DIRECTOR)
(321) 230-4118
Entity
Organization
Contact information
Practice address
108 FOREST AVE, ALTAMONTE SPRINGS, FL 32701-3612
(321) 230-4118
(407) 384-7625
Mailing address
2534 WOODS EDGE CIR, ORLANDO, FL 32817-4734
(321) 230-4118
(407) 384-7625
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH9503
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002904800
—
FL
Enumeration date
05/19/2011
Last updated
10/22/2012
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