Individual
MR. NORRIS GRIFFIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1611 SE TIFFANY CLUB PL, PORT ST LUCIE, FL 34952-7571
(407) 844-1161
Mailing address
1611 SE TIFFANY CLUB PL, PORT ST LUCIE, FL 34952-7571
(407) 844-1161
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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