Provider Demographics
NPI:1922403252
Name:FAMILY INTEGRATION CENTER
Entity Type:Organization
Organization Name:FAMILY INTEGRATION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:DANIELA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDREW-PRATO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-720-4651
Mailing Address - Street 1:1028 E OSCEOLA PARKWAY
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34744
Mailing Address - Country:US
Mailing Address - Phone:407-720-4651
Mailing Address - Fax:407-720-4690
Practice Address - Street 1:1028 E OSCEOLA PARKWAY
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744
Practice Address - Country:US
Practice Address - Phone:407-720-4651
Practice Address - Fax:407-720-4690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-29
Last Update Date:2015-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL008560900Medicaid