NPI 1124476064

Parent Support, LLC

Organisation Mental Illness Community Based Residential Treatment Facility Davenport, FL

Practice location

Address: 146 Sunset View Dr., Davenport, FL 33896
Phone: (407) 901-4000
Fax: (407) 930-4830

Authorised official

Name: Vickki-Ann S. Samuel
Title: Medical Director
Phone: (407) 901-4000

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence CARF ACCREDITED (FL)

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

Registry record

NPI: 1124476064
Entity type: Organization
NPI issued: 1 Jun 2016
Record last updated: 2 Jun 2016

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.