MEDICARE: FAMILY4TODAY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	MH10014	FL

General Provider Information

NPI Number	:	1659815363
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY4TODAY INC

Provider Business Mailing Address
First Line	:	PO BOX 471484
Second Line	:
City	:	LAKE MONROE
State	:	FL
Zip	:	32747-1484
Country	:	US
Telephone Number	:	407-952-8444
Fax Number	:	321-249-0222

Provider Business Practice Location Address
First Line	:	1349 S INTERNATIONAL PKWY
Second Line	:	SUITE 2421
City	:	LAKE MARY
State	:	FL
Zip	:	32746-1697
Country	:	US
Telephone Number	:	407-952-8444
Fax Number	:	321-249-0222

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	DR. PATRICK JOSEPH NAVE
Credential	:	DMIN LMHC MCAP
Telephone Number	:	407-952-8444

Provider Enumeration Date	:	12/14/2016
Last Update Date	:	12/14/2016

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