Organization
SP BEHAVIORAL, LLC
Active
Other names
Sandy Pines
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN THOMPSON PHD (CHIEF EXECUTIVE OFFICER)
(561) 744-0211
Entity
Organization
Contact information
Practice address
11301 SE TEQUESTA TER, TEQUESTA, FL 33469-8146
(561) 744-0211
Mailing address
11301 SE TEQUESTA TER, TEQUESTA, FL 33469-8146
(561) 744-0211
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
4462
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E24
BC FLORIDA
FL
Enumeration date
05/31/2006
Last updated
08/22/2020
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