Organization
KIDS HOUSE OF SEMINOLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE CONUS (MENTAL HEALTH PROGRAM DIRECTOR)
(407) 324-3036
Entity
Organization
Contact information
Practice address
5467 RONALD REAGAN BLVD, SANFORD, FL 32773-6332
(407) 324-3036
Mailing address
5467 RONALD REAGAN BLVD, SANFORD, FL 32773-6332
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
IMH15952
FL
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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