Parent Support, LLC
Community Based Residential Treatment Facility, Mental Illness in Davenport, FL. Organization (NPI-2).
NPI number1124476064
StatusActive
Last updated in NPPESJun 2, 2016
Details
- NPI
- 1124476064
- Entity type
- Organization (NPI-2)
- Legal business name
- Parent Support, LLC
- Organization subpart
- No
- Enumeration date
- Jun 1, 2016
- Last updated
- Jun 2, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | CARF Accredited | FL | Yes |
Other names
- Heart Transformation Treatment (Doing Business As)
Practice location
146 Sunset View Dr.Davenport, FL 33896
Phone 407-901-4000 · Fax 407-930-4830
Mailing address
146 Sunset View Dr.Davenport, FL 33896
Phone 407-901-4000 · Fax 407-930-4830
Authorized official
Vickki-Ann S. Samuel
Medical Director
4079014000
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