Organization
SUCCESSFUL SYSTEMS, INC.
Active
Organization
SUCCESSFUL SYSTEMS, INC.
Active
Other names
Community Mentors
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELE BETH RIVERS B.S., SLC, SE (EXECUTIVE DIRECTOR)
(407) 740-7673
Entity
Organization
Contact information
Practice address
699 CLAY ST, WINTER PARK, FL 32789-4553
(407) 740-7673
(407) 875-0887
Mailing address
699 CLAY ST, WINTER PARK, FL 32789-4553
(407) 740-7673
(407) 875-0887
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
229205
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
674014696
MEDICAID WAIVER
FL
01
—
674014698
MEDICAID WAIVER
FL
Enumeration date
05/01/2008
Last updated
05/01/2008
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