Organization
FAMILY PRESERVATION SERVICES
Active
Parent organization
PROVIDENCE SERVICE CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVIDENCE SERVICE CORPORATION
Authorized official
MISS JOY S SANTOS M.S. (CLINICIAN)
(813) 451-1100
Entity
Organization
Contact information
Practice address
11428 N 53RD ST, TAMPA, FL 33617-2216
(813) 374-9416
Mailing address
11428 N 53RD ST, TAMPA, FL 33617-2216
(813) 374-9416
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/24/2011
Last updated
01/24/2011
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