| Organization Name: | MH AT ORLANDO LLC |
| NPI Number: | 1003271719 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NICK MATTEO (CFO) |
| Mailing Address: | 2431 Sand Lake Rd Orlando |
| State: | FL US |
| Postal Code: | 328097641 |
| Phone Number: | 8558768648 |
| Fax Number: | |
| NPI Enumeration Date: | 12/22/2015 |
| NPI Last Update Date: | 12/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TP2701X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Group Psychotherapy |
| Taxonomy Definition: | |