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Organization
WAY OF LIFE BEHAVIORAL HEALTH
Active
Organization
WAY OF LIFE BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TREVOR SEATON THOMAS SR. (CEO)
(321) 217-7632
Entity
Organization
Contact information
Practice address
3902 HENDERSON BLVD STE 208, TAMPA, FL 33629-5034
(321) 222-3127
Mailing address
3399 MCCORMICK WOODS DR, OCOEE, FL 34761-4462
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
Other
Enumeration date
10/04/2017
Last updated
10/04/2017
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