Provider Demographics
NPI:1871990812
Name:SPECIALIZED TREATMENT, EDUCATION AND PREVENTION SERVICES INC.
Entity type:Organization
Organization Name:SPECIALIZED TREATMENT, EDUCATION AND PREVENTION SERVICES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:407-522-2146
Mailing Address - Street 1:1033 N PINE HILLS RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32808-7152
Mailing Address - Country:US
Mailing Address - Phone:407-522-2146
Mailing Address - Fax:407-522-2148
Practice Address - Street 1:130 NORMANDY RD
Practice Address - Street 2:
Practice Address - City:CASSELBERRY
Practice Address - State:FL
Practice Address - Zip Code:32707-3836
Practice Address - Country:US
Practice Address - Phone:407-522-2144
Practice Address - Fax:407-522-2148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-19
Last Update Date:2014-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0948AD398601251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health