Organization · NPI-2

Aba Wings INC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Kissimmee, FL

NPI number1467313460
StatusActive
Last updated in NPPESNov 20, 2025

Details

NPI
1467313460
Entity type
Organization (NPI-2)
Legal business name
Aba Wings INC
Organization subpart
No
Enumeration date
Nov 19, 2025
Certification date
Nov 20, 2025
Last updated
Nov 20, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes
261Q00000X Clinic/Center––

Practice location

5647 Sycamore Canyon Dr
Kissimmee, FL 34758-1727

Phone 646-966-2583

Mailing address

5647 Sycamore Canyon Dr
Kissimmee, FL 34758-1727

Phone 646-966-2583

Authorized official

Marielys Martinez Izquierdo
Manager
6469662583

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