Organization
SP BEHAVIORAL LLC
Active
Other names
SANDYPINES
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE FILTON (SR VP CFO)
(610) 738-3300
Entity
Organization
Contact information
Practice address
11301 SE TEQUESTA TER, TEQUESTA, FL 33469-8146
(561) 744-0211
(561) 575-1445
Mailing address
11301 SE TEQUESTA TER, TEQUESTA, FL 33469-8146
(561) 744-0211
(561) 575-1445
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
4462
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070694917
—
FL
Enumeration date
12/15/2006
Last updated
03/15/2011
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