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Organization
SEQUEL TSI OF FLORIDA, LLC MARION PROGRAM
Active
Organization
SEQUEL TSI OF FLORIDA, LLC MARION PROGRAM
Active
Parent organization
SEQUEL TSI OF FLORIDA, LLC
Other names
Marion Juvenile Correctional Facility
Organization subpart
Yes
Provider details
NPI number
Legal business name
SEQUEL TSI OF FLORIDA, LLC
Authorized official
MR. JOHN STUPAK (PRESIDENT)
(267) 419-8913
Entity
Organization
Contact information
Practice address
10420 NW GAINESVILLE RD, OCALA, FL 34482-1446
(352) 840-8240
(352) 840-8256
Mailing address
10420 NW GAINESVILLE RD, OCALA, FL 34482-1446
(352) 840-8240
(352) 840-8256
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
NULL
3245S0500X
Children's Substance Abuse Rehabilitation Facility
0542AD9709
FL
Other
Enumeration date
12/21/2009
Last updated
12/21/2009
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