Organization
C.H.A.N.G.E.S. YOUTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA LEE MOHAMMED MS (VICE PRESIDENT)
(407) 276-3069
Entity
Organization
Contact information
Practice address
1067 COVINGTON ST, OVIEDO, FL 32765-7034
(407) 276-3069
Mailing address
1067 COVINGTON ST, OVIEDO, FL 32765-7034
(407) 276-3069
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/28/2011
Last updated
05/28/2011
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