Provider Demographics
NPI:1336671643
Name:TCM SOLUTIONS CENTER
Entity Type:Organization
Organization Name:TCM SOLUTIONS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ TARGET CASE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:SW, TCM MPA
Authorized Official - Phone:321-900-5786
Mailing Address - Street 1:239 MONTANA AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34769-2101
Mailing Address - Country:US
Mailing Address - Phone:321-900-5786
Mailing Address - Fax:
Practice Address - Street 1:239 MONTANA AVE
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34769-2101
Practice Address - Country:US
Practice Address - Phone:321-900-5786
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-28
Last Update Date:2017-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management