| Nyoka Place, Inc. | |
|
108 Forest Ave Altamonte Springs FL 32701-3612 | |
| (321) 230-4118 | |
| (407) 384-7625 |
| Full Name | Nyoka Place, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 108 Forest Ave, Altamonte Springs, Florida |
| Authorized Official Name and Position | Nyoka Malcolm (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3212304118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nyoka Place, Inc. 2534 Woods Edge Cir Orlando FL 32817-4734 Ph: (321) 230-4118 | Nyoka Place, Inc. 108 Forest Ave Altamonte Springs FL 32701-3612 Ph: (321) 230-4118 |
| NPI Number | 1679866925 |
|---|---|
| Provider Enumeration Date | 05/19/2011 |
| Last Update Date | 10/22/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679866925 | NPI | - | NPPES |
| 002904800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MH9503 (Florida) | Primary |
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