Entity Name: | FAMILIA BHC INC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Not For Profit Corporation |
Status: | Active |
Date Filed: | 04 Mar 2024 (a year ago) |
Document Number: | N24000002844 |
Address: | 4754 RED STAG DR, SAINT CLOUD, FL 34772 |
Mail Address: | 4754 RED STAG DR, SAINT CLOUD, FL 34772 |
ZIP code: | 34772 |
County: | Osceola |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1790508950 | 2024-11-06 | 2024-11-06 | 4754 RED STAG DR, SAINT CLOUD, FL, 347727974, US | 4754 RED STAG DR, SAINT CLOUD, FL, 347727974, US | |||||||||||||
|
Phone | +1 689-271-5669 |
Authorized person
Name | JUAN SALGADO |
Role | VP |
Phone | 6892715669 |
Taxonomy
Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
SALGADO GARCIA, JUAN J | Agent | 4754 RED STAG DR, SAINT CLOUD, FL 34772 |
Name | Role | Address |
---|---|---|
SALGADO GARCIA, JUAN J | Vice President | 4754 RED STAG DR, SAINT CLOUD, FL 34772 |
Name | Role | Address |
---|---|---|
FERNANDEZ, JOSE | TTEE | 5058 BRIGHTMOUR CIR, ORLANDO, FL 32837 |
Name | Role | Address |
---|---|---|
CASTRO, IRIS | Secretary | 124 OVERLOOK DR, WEST SPRINGFIELD, MA 01089 |
Name | Role | Address |
---|---|---|
CARDONA, ERMELINDA | Treasurer | 84 NORTHWAY DR, SPRINGFIELD, MA 01119 |
Name | Role | Address |
---|---|---|
COLLINS, JENNIFER | President | 45 CALIFORNIA AVE, SPRINGFIELD, MA 01118 |
Name | Date |
---|---|
Domestic Non-Profit | 2024-03-04 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State