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Organization

COMMUNITY LIFE DEVELOPMENT

Active
Other names
behavioral health clinic
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. YANETH BARRETO BA (TARGET CASE MANAGER)
(847) 707-9956
Entity
Organization

Contact information

Practice address
1030 BIG OAKS BLVD, OVIEDO, FL 32765
(847) 707-9956
Mailing address
1030 BIG OAKS BLVD, OVIEDO, FL 32765-6005
(847) 707-9956

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
FL

Other

Enumeration date
12/12/2014
Last updated
07/21/2022
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