Community Life Dev

NPI #1336539642 in Maitland, Florida

Provider Information

NPI Number: 1336539642
Entity Type: Organization
Organization Name: Community Life Dev
Primary Specialty: Case Management
Enumeration Date: Jan 26, 2015
Last Updated: Jan 26, 2015

Practice Location

Address: 225 S SWOOPE AVE
City: Maitland
State: Florida
ZIP Code: 32751-5704
Phone: (407) 790-4927

Authorized Official

Name: YANTH BARRETO, BA
Title: TARGET CASE MANAGER
Phone: (847) 707-9956

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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