Organization · NPI-2
Camelot Community Care, INC
Community/Behavioral Health · Clearwater, FL
NPI number1669148649
StatusActive
Last updated in NPPESAug 19, 2021
Details
- NPI
- 1669148649
- Entity type
- Organization (NPI-2)
- Legal business name
- Camelot Community Care, INC
- Organization subpart
- No
- Enumeration date
- Aug 19, 2021
- Certification date
- Aug 19, 2021
- Last updated
- Aug 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
4910 Creekside Dr Ste DClearwater, FL 33760-4034
Phone 727-593-0003
Mailing address
4910 Creekside Dr Ste DClearwater, FL 33760-4034
Phone 727-593-0003
Authorized official
Jana Allen
Director Of Ar
7275930003
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