Organization

Club Spectrum Aba

Adolescent and Children Mental Health Clinic/Center in Orlando, FL(View on Map)

Legal Business Name

Club Spectrum Aba

NPI Number

1407592900

NPI Type

Organization

Enumeration Date

05/08/2022

Specialties

(Taxonomies)

Contact
Information

Purpose

Mailing
Location

Address

3700 CURRY FORD RD APT M8
3700 CURRY FORD RD APT M8

City

Orlando
Orlando

State

FL
FL

Postal Code

32806-2641
32806-2641

Country

US
US

Telephone Number

(407) 369-3788
(407) 369-3788

Authorized Official

Name

Cori-anne Bonfilio

Title or Position

FOUNDER CEO

Telephone Number

(407) 369-3788

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

coribonfilio@clubspectrumaba.com

Endpoint Description

company email

Use

Direct

Content Type

CSV

Affiliation

N

Endpoint Location

3700 Curry Ford Rd Apt M8Orlando, FL328062641US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/08/2022

Provider Address

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