Provider Demographics
NPI:1497498810
Name:CFSATC INC
Entity Type:Organization
Organization Name:CFSATC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:S
Authorized Official - Last Name:BALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-872-3000
Mailing Address - Street 1:1800 W COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-7012
Mailing Address - Country:US
Mailing Address - Phone:407-872-3000
Mailing Address - Fax:
Practice Address - Street 1:1000 SE FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-3821
Practice Address - Country:US
Practice Address - Phone:772-291-2750
Practice Address - Fax:407-872-3057
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CFSATC INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-04-14
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health