Organization
PIONEERING HOPE AND DISCOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYESHA MOORE MSW (PRESIDENT)
(321) 368-4018
Entity
Organization
Contact information
Practice address
605 NORTHLAKE BLVD, #37, ALTAMONTE SPRINGS, FL 32701-6155
(321) 368-4018
Mailing address
605 NORTHLAKE BLVD, #37, ALTAMONTE SPRINGS, FL 32701-6155
(321) 368-4018
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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