Organization
JUSTIN FAMILY A.L.F. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL BRITO (OWNER/ADMINISTRATOR)
(813) 735-3600
Entity
Organization
Contact information
Practice address
10103 BAY WIND CT, TAMPA, FL 33615-2634
(813) 735-3600
(813) 405-4149
Mailing address
10103 BAY WIND CT, TAMPA, FL 33615-2634
(813) 735-3600
(813) 405-4149
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
AL11790
FL
Other
Enumeration date
02/14/2014
Last updated
05/28/2015
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