Organization Name: | FAMILY TREE BEHAVIORAL CARE, LLC |
NPI Number: | 1841670411 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KATHRYN E JANN (CLINICAL DIRECTOR, OWNER) |
Mailing Address: | 2625 Keystone Rd Tarpon Springs |
State: | FL US |
Postal Code: | 346887436 |
Phone Number: | 7274081057 |
Fax Number: | |
NPI Enumeration Date: | 06/08/2015 |
NPI Last Update Date: | 06/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Licensed Practical Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |