Organization
TRI-COUNTY LIFE SKILLS CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS G GLAZA LMHC (OWNER)
(941) 268-0020
Entity
Organization
Contact information
Practice address
12543 TAMIAMI TRL S, NORTH PORT, FL 34287-1446
(941) 268-0020
(941) 429-3778
Mailing address
12543 TAMIAMI TRL S, NORTH PORT, FL 34287-1446
(941) 268-0020
(941) 429-3778
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH 5146
FL
Other
Enumeration date
04/28/2013
Last updated
04/28/2013
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