Individual provider · Type 1 NPI
Rose Souverain
Mental Illness Community Based Residential Treatment Facility · Ocoee, FL
NPI number
1073990982
Active
Practice location
404 Tranquille Oaks Dr
Ocoee, FL 34761-1402
Fax (321) 558-3055
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | 6906125 (FL) |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Another provider at this address
About NPI 1073990982
Rose Souverain's National Provider Identifier is 1073990982, issued on Apr 29, 2015. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Ocoee, FL. The record was last updated on Apr 29, 2015.