Organization
BEHAVIORAL SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANNE-MARIE HEATH (SUPERVISOR)
(407) 830-6412
Entity
Organization
Contact information
Practice address
315 N LAKEMONT AVE STE B, WINTER PARK, FL 32792-3205
(407) 830-6412
Mailing address
315 N LAKEMONT AVE STE B, WINTER PARK, FL 32792-3205
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/25/2012
Last updated
05/25/2012
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