Organization Name: | JOANN BRIDGES ACADEMY |
NPI Number: | 1811021488 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TUWOLLAR MESHET MOBLEY (FACILITY ADMINISTRATOR) |
Mailing Address: | 950 Sw Greenville Hills Rd Greenville |
State: | FL US |
Postal Code: | 323313108 |
Phone Number: | 8509484220 |
Fax Number: | 8509484227 |
NPI Enumeration Date: | 03/15/2007 |
NPI Last Update Date: | 06/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320800000X |
License Number: | |
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. |