| House Of Freedom | |
|
2311 N Orange Blossom Trl Kissimmee FL 34744-2313 | |
| (407) 738-3030 | |
| Not Available |
| Full Name | House Of Freedom |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2311 N Orange Blossom Trl, Kissimmee, Florida |
| Authorized Official Name and Position | Jose Ysrael Mendez (PRESIDENT) |
| Authorized Official Contact | 4077383030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| House Of Freedom 2311 N Orange Blossom Trl Kissimmee FL 34744-2313 Ph: (407) 738-3030 | House Of Freedom 2311 N Orange Blossom Trl Kissimmee FL 34744-2313 Ph: (407) 738-3030 |
| NPI Number | 1245582543 |
|---|---|
| Provider Enumeration Date | 10/10/2012 |
| Last Update Date | 05/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245582543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME107982 (Florida) | Primary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Secondary |
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