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Individual Provider
Community/Behavioral Health Agency in Longwood, Florida
NPI 1033587795

Individual Provider is a Community/Behavioral Health Agency based in Longwood, FL. Individual Provider practices in Longwood, FL. The NPI Number for Individual Provider is 1033587795 and holds a License No. ISW10093 (Florida).

The current practice location address for Individual Provider is 650 Palermo Vista Ct, Longwood, FL and can be reached out via phone at 317-697-8932.

Location: 650 Palermo Vista Ct, Longwood, FL, 32750-3419
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033587795
Provider Name
Individual Provider
Credential
Provider Entity Type
Organization
Address
650 Palermo Vista Ct, Longwood, FL, 32750-3419
Phone Number
317-697-8932
Fax Number
Provider Enumeration Date
09/10/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
650 Palermo Vista Ct
City
Longwood
State
Florida
Zip
32750-3419
Phone Number
317-697-8932
Fax Number
person
Provider Business Mailing Address Details
Address
650 Palermo Vista Ct
City
Longwood
State
Florida
Zip
32750-3419
Phone Number
317-697-8932
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
ISW10093 (Florida)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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