Organization
FAMILY ADVOCATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN KYLE DUNN-CONROW BA (TCM SUPERVISOR)
(727) 201-7979
Entity
Organization
Contact information
Practice address
2601 TECHNOLOGY DR, ORLANDO, FL 32804-8003
(727) 201-7979
Mailing address
2601 TECHNOLOGY DR, ORLANDO, FL 32804-8003
(727) 201-7979
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083058010
—
FL
Enumeration date
10/14/2014
Last updated
10/14/2014
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