NPI 1558767970

Wellspring

Organisation Psychiatric Residential Treatment Facility Gainesville, FL

Practice location

Address: 5618 NW 43rd Street, Gainesville, FL 32653
Phone: (352) 377-8770
Fax: (352) 371-3623

Authorised official

Name: George Randall Williams
Title: Owner
Phone: (352) 377-8770

Registered specialties

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X Licence ME0037298 (FL)

Other Psychiatric Residential Treatment Facility providers in Florida →

Registry record

NPI: 1558767970
Entity type: Organization
NPI issued: 12 Nov 2014
Record last updated: 14 Nov 2014

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.