Organization · NPI-2

Camelot Community Care, INC

Community/Behavioral Health · Ocala, FL

NPI number1679797492
StatusActive
Last updated in NPPESAug 19, 2021

Details

NPI
1679797492
Entity type
Organization (NPI-2)
Legal business name
Camelot Community Care, INC
Organization subpart
No
Enumeration date
Apr 12, 2007
Certification date
Aug 19, 2021
Last updated
Aug 19, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health–FLYes

Practice location

1601 Ne 25th Ave
Sutie 306
Ocala, FL 34470-8800

Phone 352-671-7884 · Fax 352-671-7379

Mailing address

4910 Creekside Dr Ste D
Clearwater, FL 33760-4034

Phone 727-593-0003

Authorized official

Jana Allen
Director Of Ar
7275930003

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