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NPI 1063606028 · Mental Illness Community Based Residential Treatment Facility · Clearwater, FL
Provider details
- NPI number
- 1063606028
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Rose Waje, Owner Administrator(727) 230-9946
- License
- 692450696 (FL)
Specialties & taxonomies
- Mental Illness Community Based Residential Treatment FacilityPrimary320800000XLicense 692450696 (FL)
Residential Treatment Facilities
Practice location
2690 Meadow Oak Drive
Clearwater, FL 33761
Phone: (727) 230-9946
Fax: (727) 796-5282
Approximate (ZIP-level) locationGet directions
Mailing address
2690 Meadow Oak Drive
Clearwater, FL 33761
Registry dates
- Enumerated
- 2007-09-04
- Last updated
- 2008-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.