1861899577 NPI number — SPECIALIZED TREATMENT, EDUCATION AND PREVENTION SERVICES INC.

Table of content: (NPI 1861899577)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861899577 NPI number — SPECIALIZED TREATMENT, EDUCATION AND PREVENTION SERVICES INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SPECIALIZED TREATMENT, EDUCATION AND PREVENTION SERVICES INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1861899577
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/24/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1033 N PINE HILLS RD
Provider Second Line Business Mailing Address:
SUITE 300
Provider Business Mailing Address City Name:
ORLANDO
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32808-7152
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
407-522-2144
Provider Business Mailing Address Fax Number:
407-522-2148

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4430 DIXIE HWY NE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PALM BAY
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32905-4327
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
407-522-2144
Provider Business Practice Location Address Fax Number:
407-522-2148
Provider Enumeration Date:
11/24/2014

Additional Information

Authorized Official

Authorized Official Last Name:
TURNER
Authorized Official First Name:
KATHLEEN
Authorized Official Middle Name:
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
407-522-2144

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X , with the licence number:  1805AD398614 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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