NPI 1235277237

The Children's Home, INC.

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Tampa, FL

Practice location

Address: 10909 Memorial Hwy, Tampa, FL 33615-2511
Phone: (813) 855-4435
Mailing address: 522 39th Ave NE, St Petersburg, FL 33703-5918

Authorised official

Name: Sandnes Smith Boulanger
Title: Counseling Services Manager
Phone: (813) 855-4435

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence SW6638 (FL)

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Registry record

NPI: 1235277237
Entity type: Organization
NPI issued: 2 Feb 2007
Record last updated: 11 Jul 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.