NPI 1245241165

Hillsborough County Dept of Children's Services

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Tampa, FL

Practice location

Address: 3110 Clay Mangum Ln, Tampa, FL 33618-2501
Phone: (813) 264-3807
Fax: (813) 264-3872

Authorised official

Name: Charles D. Furman
Title: Clinical Services Director
Phone: (813) 264-3807

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 8006-24 (FL)

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

Registry record

NPI: 1245241165
Entity type: Organization
NPI issued: 10 Aug 2006
Record last updated: 22 Aug 2020

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.