Organization · NPI-2

1 Village 1 Child

Community/Behavioral Health · Ocoee, FL

NPI number1649424367
StatusActive
Last updated in NPPESNov 7, 2008

Details

NPI
1649424367
Entity type
Organization (NPI-2)
Legal business name
1 Village 1 Child
Organization subpart
No
Enumeration date
Nov 7, 2008
Last updated
Nov 7, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes
251K00000X Public Health or Welfare––
251V00000X Voluntary or Charitable––

Practice location

2704 Rew Cir
Ocoee, FL 34761-2994

Phone 321-356-9352 · Fax 407-880-3034

Mailing address

Po Box 364
Gotha, FL 34734-0364

Phone 321-356-9352 · Fax 407-880-3034

Authorized official

Keith Daly
Owner
3213569352

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