Organization
SEMINOLE BEHAVIOR HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARISHA MICHELLE HIGGINS (CLUBHOUSE PROGRAM SPECIALIST)
(407) 401-4675
Entity
Organization
Contact information
Practice address
3590 N. HYW 17-92, 1026, LAKE MARY, FL 32746
(402) 321-7015
Mailing address
237 FERNWOOD BLVD, FERN PARK, FL 32730-2116
(407) 831-2411
(407) 831-0195
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/22/2010
Last updated
04/22/2010
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