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NPI 1851626337 · Mental Illness Community Based Residential Treatment Facility · St Petersburg, FL
Provider details
- NPI number
- 1851626337
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Esmeralda Manukonda, President
- License
- AL11427 (FL)
Mailing address
3935 43rd Ave N
St Petersburg, FL 33714-3620
Registry dates
- Enumerated
- 2009-10-16
- Last updated
- 2009-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.