Organization
CAMELOT COMMUNITY CARE
Active
Organization
CAMELOT COMMUNITY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE DISORBO LMHC (EXECUTIVE DIRECTOR)
(954) 958-0988
Entity
Organization
Contact information
Practice address
1925 S PERIMETER RD, SUITE 120, FORT LAUDERDALE, FL 33309-7122
(954) 958-0988
(954) 958-3527
Mailing address
1925 S. PERIMETER ROAD, SUITE 120, CORAL SPRINGS, FL 33309
(954) 958-0988
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH11357
FL
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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