Whalio Doctors

NPI 1336478304

Sequel Tsi of Florida, LLC Marion Program

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Ocala, FL

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
Residential Treatment Facilities Taxonomy 322D00000X
Children's Substance Abuse Rehabilitation Facility
Residential Treatment Facilities Taxonomy 3245S0500X Licence 0542AD9709 (FL)

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.