Norris Griffin Jr.
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Port St Lucie, FL. Individual provider (NPI-1).
NPI number1750147955
StatusActive
Last updated in NPPESFeb 26, 2024
Details
- NPI
- 1750147955
- Entity type
- Individual (NPI-1)
- Name
- Mr. Norris Griffin Jr.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 26, 2024
- Certification date
- Feb 25, 2024
- Last updated
- Feb 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
1611 Se Tiffany Club PlPort St Lucie, FL 34952-7571
Phone 407-844-1161
Mailing address
1611 Se Tiffany Club PlPort St Lucie, FL 34952-7571
Phone 407-844-1161
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All 9 Intellectual and/or Developmental Disabilities Residential Treatment Facility providers in Port St Lucie · All 3,747 providers in Port St Lucie
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