Organization
BEHAVIORAL SUPPORT SERVICES
Active
Organization
BEHAVIORAL SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE ANIBAL BARRETO MED (MENTAL HEALTH TARGETED CASE MANAGER)
(407) 965-8013
Entity
Organization
Contact information
Practice address
2495 HURON CIR, KISSIMMEE, FL 34746-3443
(407) 965-8013
Mailing address
2495 HURON CIR, KISSIMMEE, FL 34746-3443
(407) 965-8013
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
FL
Other
Enumeration date
02/13/2015
Last updated
02/13/2015
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