Organization
ST AUBYN CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KERROL GREENLAND (CEO)
(954) 330-6312
Entity
Organization
Contact information
Practice address
468 COLUMBIA CT, POINCIANA, FL 34759-5959
(954) 268-8911
Mailing address
468 COLUMBIA CT, POINCIANA, FL 34759-5959
(954) 268-8911
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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