Stallworth Community Services INC
Community/Behavioral Health in Bradenton, FL. Organization (NPI-2).
NPI number1265690366
StatusActive
Last updated in NPPESMay 27, 2008
Details
- NPI
- 1265690366
- Entity type
- Organization (NPI-2)
- Legal business name
- Stallworth Community Services INC
- Organization subpart
- No
- Enumeration date
- May 27, 2008
- Last updated
- May 27, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Other names
- Successful Development INC (Former Legal Business Name)
Practice location
304 26th Avenue EastBradenton, FL 34208
Phone 941-536-4449 · Fax 941-355-8699
Mailing address
Po Box 57Tallevast, FL 34270
Phone 941-536-4449 · Fax 941-355-8699
Authorized official
Janell Latrice Stallworth
President Executive Director
9415364449
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All 26 Community/Behavioral Health Agency providers in Bradenton · All 5,544 providers in Bradenton
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