Healthcare Provider Details

I. General information

NPI: 1922403252
Provider Name (Legal Business Name): FAMILY INTEGRATION CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2014
Last Update Date: 09/11/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1028 E OSCEOLA PARKWAY
KISSIMMEE FL
34744
US

IV. Provider business mailing address

1028 E OSCEOLA PARKWAY
KISSIMMEE FL
34744
US

V. Phone/Fax

Practice location:
  • Phone: 407-720-4651
  • Fax: 407-720-4690
Mailing address:
  • Phone: 407-720-4651
  • Fax: 407-720-4690

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MISS DANIELA ANDREW-PRATO
Title or Position: CEO/DIRECTOR
Credential:
Phone: 407-720-4651