Theresa Williams

NPI #1235561069 in Wildwood, Florida

Provider Information

NPI Number: 1235561069
Entity Type: Organization
Organization Name: Theresa Williams
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Aug 2, 2013
Last Updated: Aug 2, 2013

Practice Location

Address: 301 STONE ST
City: Wildwood
State: Florida
ZIP Code: 34785-3344
Phone: (352) 748-7032

Authorized Official

Name: MRS. THERESA L WILLIAMS
Title: LPN
Phone: (352) 748-7032

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Private Vehicle	347C00000X
Respite Care	385H00000X
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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