Organization

Optimum Potential Community Services

Community/Behavioral Health Agency in Kissimmee, FL(View on Map)

Legal Business Name

Optimum Potential Community Services

NPI Number

1316317381

NPI Type

Organization

Enumeration Date

10/02/2015

Specialties

(Taxonomies)

Code

251S00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

120 BROADWAY STE 306
120 BROADWAY

City

Kissimmee
Kissimmee

State

FL
FL

Postal Code

34741-5706
34741-5703

Country

US
US

Telephone Number

(407) 201-6577
(407) 201-6577

Authorized Official

Name

Ms. Lucille Thomas

Title or Position

TARGETED CASE MANAGER

Telephone Number

(321) 333-9197

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

Data last updated by provider on 06/17/2016

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