Organization
EARLY STEPS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMARILIS A MOYA (ITDS)
(813) 989-0435
Entity
Organization
Contact information
Practice address
4827 PURITAN CIR, TAMPA, FL 33617-8352
(813) 989-0435
Mailing address
4827 PURITAN CIR, TAMPA, FL 33617-8352
(813) 989-0435
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
222Q00000X
FL
Other
Enumeration date
06/17/2007
Last updated
06/16/2008
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