| Fumch | |
|
51 Children's Way Enterprise FL 32725 | |
| (386) 668-4774 | |
| (386) 668-4486 |
| Full Name | Fumch |
|---|---|
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
| Location | 51 Children's Way, Enterprise, Florida |
| Authorized Official Name and Position | Kaylee Vance (DIRECTOR OF UTILIZATION MANAGEMENT) |
| Authorized Official Contact | 3866684774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fumch 51 Children's Way Enterprise FL 32725 Ph: (386) 668-4774 | Fumch 51 Children's Way Enterprise FL 32725 Ph: (386) 668-4774 |
| NPI Number | 1225006059 |
|---|---|
| Provider Enumeration Date | 03/09/2006 |
| Last Update Date | 04/12/2021 |
| Certification Date | 04/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225006059 | NPI | - | NPPES |
| 070513600 | Medicaid | FL | |
| X11030500 | Other | FL | DEPT OF CHILDREN FAMILIES |
| X11030599 | Other | FL | DEPT OF CHILDREN FAMILIES |
Spectrum Behavioral Solutions, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 345 Stone Island Rd, Enterprise, FL 32725 Phone: 407-353-5168 |