NPI 1306862511

Carlton Manor, INC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility St Petersburg, FL

Practice location

Address: 45 Westwood Ter N, St Petersburg, FL 33710-8325
Phone: (727) 343-3662
Fax: (727) 347-1649

Authorised official

Name: Paul Buxbaum
Title: Executive Director
Phone: (727) 343-3662

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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Registry record

NPI: 1306862511
Entity type: Organization
NPI issued: 14 Jul 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.