Organization
UNIVERSAL TREATMENT CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANELL STALLWORTH (VICE PRESIDENT)
(941) 749-0530
Entity
Organization
Contact information
Practice address
2509 11TH AVE E, BRADENTON, FL 34208-3057
(941) 749-0530
Mailing address
2509 11TH AVE E, BRADENTON, FL 34208-3057
(941) 749-0530
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
TBA
FL
Other
Enumeration date
01/22/2009
Last updated
01/22/2009
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