Sequel Tsi Of Florida, LLC Marion Program
Residential Treatment Facility, Emotionally Disturbed Children in Ocala, FL. Organization (NPI-2).
NPI number1336478304
StatusActive
Last updated in NPPESDec 21, 2009
Details
- NPI
- 1336478304
- Entity type
- Organization (NPI-2)
- Legal business name
- Sequel Tsi Of Florida, LLC Marion Program
- Organization subpart
- Yes
- Enumeration date
- Dec 21, 2009
- Last updated
- Dec 21, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | – | – | Yes |
| 3245S0500X | Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | 0542AD9709 | FL |
Other names
- Marion Juvenile Correctional Facility (Doing Business As)
Practice location
10420 Nw Gainesville RdOcala, FL 34482-1446
Phone 352-840-8240 · Fax 352-840-8256
Mailing address
10420 Nw Gainesville RdOcala, FL 34482-1446
Phone 352-840-8240 · Fax 352-840-8256
Authorized official
John Stupak
President
2674198913
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