Organization
SAILFUTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL THOMAS LONG (EXECUTIVE DIRECTOR)
(941) 219-9847
Entity
Organization
Contact information
Practice address
2900 68TH AVE S, ST PETERSBURG, FL 33712-5525
(941) 219-9847
Mailing address
2900 68TH AVE S, ST PETERSBURG, FL 33712-5525
(941) 219-9847
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Enumeration date
09/09/2018
Last updated
05/19/2020
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