NPI 1336478304
Sequel Tsi of Florida, LLC Marion Program
Practice location
- Address
- 10420 NW Gainesville Rd, Ocala, FL 34482-1446
- Phone
- (352) 840-8240
- Fax
- (352) 840-8256
Authorised official
- Name
- John Stupak
- Title
- President
- Phone
- (267) 419-8913
Registered specialties (2)
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
Children's Substance Abuse Rehabilitation Facility
Registry record
- NPI
- 1336478304
- Entity type
- Organization
- NPI issued
- 21 Dec 2009
- Record last updated
- 21 Dec 2009
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.