Organization Name: | HAPPY ACRES |
NPI Number: | 1184804890 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SANDRA HALL (OWNER/OPERATOR) |
Mailing Address: | 700 Anderson Dr Bonifay |
State: | FL US |
Postal Code: | 324252402 |
Phone Number: | 8505473708 |
Fax Number: | |
NPI Enumeration Date: | 11/09/2007 |
NPI Last Update Date: | 11/23/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320800000X |
License Number: | AL9130 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment Facility, Mental Illness |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |