NPI 1043634876

Justin Family A.L.F. LLC

Organisation Mental Illness Community Based Residential Treatment Facility Tampa, FL

Practice location

Address: 10103 Bay Wind CT, Tampa, FL 33615-2634
Phone: (813) 735-3600
Fax: (813) 405-4149

Authorised official

Name: Manuel Brito
Title: Owner/Administrator
Phone: (813) 735-3600

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence AL11790 (FL)

Other Community Based Residential Treatment Facility, Mental Illness providers in Florida →

Registry record

NPI: 1043634876
Entity type: Organization
NPI issued: 14 Feb 2014
Record last updated: 28 May 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.