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Organization
SEQUEL TSI OF FLORIDA, LLC
Active
Organization
SEQUEL TSI OF FLORIDA, LLC
Active
Parent organization
SEQUEL TSI HOLDINGS, LLC
Other names
Palm Beach Youth Academy
Organization subpart
Yes
Provider details
NPI number
Legal business name
SEQUEL TSI HOLDINGS, LLC
Authorized official
MR. KENNY ROBERTS (SVP OPERATIONS)
(256) 880-3339
Entity
Organization
Contact information
Practice address
9680 FAIRGROUND RD, WEST PALM BEACH, FL 33411-3528
(561) 333-0664
Mailing address
9680 FAIRGROUND RD, WEST PALM BEACH, FL 33411-3528
(561) 333-0664
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
NULL
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
NULL
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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