Organization
CARLTON MANOR, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL BUXBAUM (EXECUTIVE DIRECTOR)
(727) 343-3662
Entity
Organization
Contact information
Practice address
45 WESTWOOD TER N, ST PETERSBURG, FL 33710-8325
(727) 343-3662
(727) 347-1649
Mailing address
45 WESTWOOD TER N, ST PETERSBURG, FL 33710-8325
(727) 343-3662
(727) 347-1649
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/14/2006
Last updated
08/22/2020
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