| Tri-county Life Skills Centers Llc | |
|
12543 Tamiami Trl S North Port FL 34287-1446 | |
| (941) 268-0020 | |
| (941) 429-3778 |
| Full Name | Tri-county Life Skills Centers Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12543 Tamiami Trl S, North Port, Florida |
| Authorized Official Name and Position | Thomas G Glaza (OWNER) |
| Authorized Official Contact | 9412680020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-county Life Skills Centers Llc 12543 Tamiami Trl S North Port FL 34287-1446 Ph: (941) 268-0020 | Tri-county Life Skills Centers Llc 12543 Tamiami Trl S North Port FL 34287-1446 Ph: (941) 268-0020 |
| NPI Number | 1821432279 |
|---|---|
| Provider Enumeration Date | 04/28/2013 |
| Last Update Date | 04/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821432279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MH 5146 (Florida) | Primary |
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