Organization
STONE KRAFT GROUP INC.
Active
Other names
Eden Life
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK HAUGHTON (PRESIDENT)
(407) 603-6272
Entity
Organization
Contact information
Practice address
1515 S ORLANDO AVE STE E, MAITLAND, FL 32751-6471
(407) 603-6272
(407) 505-6373
Mailing address
1515 S ORLANDO AVE STE E, MAITLAND, FL 32751-6471
(407) 603-6272
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125358200
—
FL
Enumeration date
09/23/2022
Last updated
03/30/2026
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