Nyoka Place, Inc. | |
108 Forest Ave Altamonte Springs FL 32701-3612 | |
(321) 230-4118 | |
Not Available |
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: () - | Nyoka Place, Inc. 108 Forest Ave Altamonte Springs FL 32701-3612 Ph: (321) 230-4118 |
NPI Number | 1912146044 |
---|---|
Provider Enumeration Date | 02/12/2009 |
Last Update Date | 10/22/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912146044 | NPI | - | NPPES |
002904800 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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