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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