NPI 1063617421

Early Steps

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Tampa, FL

Practice location

Address: 4827 Puritan Cir, Tampa, FL 33617-8352
Phone: (813) 989-0435

Authorised official

Name: Amarilis a Moya
Title: Itds
Phone: (813) 989-0435

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 222Q00000X (FL)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Florida →

Registry record

NPI: 1063617421
Entity type: Organization
NPI issued: 17 Jun 2007
Record last updated: 16 Jun 2008

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.