# LA AMISTAD FOUNDATION, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LAKEWOOD CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710150834
- **Authorized official:** MS. HELEN BOOTH (PRESIDENT/CEO)
- **Authorized official phone:** (407) 332-1711

## Contact information

- **Practice address:** 8400 LA AMISTAD CV, FERN PARK, FL 32730-2900
- **Practice address phone:** (407) 332-1711
- **Practice address fax:** (407) 331-7291
- **Mailing address:** 8400 LA AMISTAD CV, FERN PARK, FL 32730-2900
- **Mailing address phone:** (407) 332-1711
- **Mailing address fax:** (407) 331-7291

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | 8569 | FL | Yes |

## Other

- **Enumeration date:** 04/09/2008
- **Last updated:** 04/09/2008