Organization Name: | ALTERNATIVE DIRECTIONS |
NPI Number: | 1013057637 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHERRY STAPP MATTOS (EXECUTIVE/CLINICAL DIRECTOR/OWNER) |
Mailing Address: | 1350 N Orange Ave Suite 296 Winter Park |
State: | FL US |
Postal Code: | 327894945 |
Phone Number: | 4075796009 |
Fax Number: | 4076221200 |
NPI Enumeration Date: | 02/06/2007 |
NPI Last Update Date: | 04/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH 7519 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |