Organization
HUMAN SERVICE & RESOURCES & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PHYLLIS A. OLIVA CAP, NCACII (DIRECTOR)
(407) 767-0039
Entity
Organization
Contact information
Practice address
220 LIVE OAK BLVD, CASSELBERRY, FL 32707-3830
(407) 767-0039
(407) 767-7490
Mailing address
220 LIVE OAK BLVD, CASSELBERRY, FL 32707-3830
(407) 767-0039
(407) 767-7490
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1859AD468901
FL
Other
Enumeration date
01/12/2011
Last updated
01/12/2011
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