Organization · Type 2 NPI
Theresa Williams
Mental Illness Community Based Residential Treatment Facility · Wildwood, FL
NPI number
1235561069
Active
Practice location
301 Stone St
Wildwood, FL 34785-3344
Fax (352) 748-7032
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
| Private Vehicle | 347C00000X | WER1234 (FL) |
| Respite Care | 385H00000X | None listed |
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.
About NPI 1235561069
Theresa Williams's National Provider Identifier is 1235561069, issued on Aug 2, 2013. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Wildwood, FL. The record was last updated on Aug 2, 2013.