Organization
OUTER GROWTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEGOFF BARTHELEMY (OWNER)
(813) 797-8585
Entity
Organization
Contact information
Practice address
13238 PRESTWICK DR, RIVERVIEW, FL 33579-4014
(813) 797-8585
Mailing address
13238 PRESTWICK DR, RIVERVIEW, FL 33579-4014
(813) 797-8585
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/24/2025
Last updated
05/13/2025
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