# THE CHILDREN'S HOME, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235277237
- **Authorized official:** MRS. SANDNES SMITH BOULANGER MSW (COUNSELING SERVICES MANAGER)
- **Authorized official phone:** (813) 855-4435

## Contact information

- **Practice address:** 10909 MEMORIAL HWY, TAMPA, FL 33615-2511
- **Practice address phone:** (813) 855-4435
- **Mailing address:** 522 39TH AVE NE, ST PETERSBURG, FL 33703-5918
- **Mailing address phone:** (727) 822-6465

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | SW6638 | FL | Yes |

## Other

- **Enumeration date:** 02/02/2007
- **Last updated:** 07/11/2008