Provider Demographics
NPI:1114359759
Name:AFTER COURT SOLUTIONS LLC
Entity Type:Organization
Organization Name:AFTER COURT SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:J
Authorized Official - Last Name:NAZARIO
Authorized Official - Suffix:
Authorized Official - Credentials:CERTIFIED ADDICTION
Authorized Official - Phone:407-944-1155
Mailing Address - Street 1:120 BROADWAY
Mailing Address - Street 2:SUITE 206
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-5703
Mailing Address - Country:US
Mailing Address - Phone:407-944-1155
Mailing Address - Fax:407-536-4348
Practice Address - Street 1:120 BROADWAY
Practice Address - Street 2:SUITE 206
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-5703
Practice Address - Country:US
Practice Address - Phone:407-944-1155
Practice Address - Fax:407-536-4348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-06
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCAP 3330252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency