Organization
WAY OF LIFE BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TREVOR SEATON THOMAS SR. (CEO)
(321) 217-7632
Entity
Organization
Contact information
Practice address
3902 HENDERSON BLVD STE 208, TAMPA, FL 33629-5034
(321) 222-3127
Mailing address
3399 MCCORMICK WOODS DR, OCOEE, FL 34761-4462
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/04/2017
Last updated
10/04/2017
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