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General NPI Number Information
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NPI Number | 1104894914
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Entity Type | Organization
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Legal Business Name | AGENCY FOR COMMUNITY TREATMENT SERVICES, INC.
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 8605 N BRANCH AVE
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City | TAMPA
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State | FL
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Zip | 33604-1404
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Country | US
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Telephone | 813-246-4899
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Fax | 813-621-6899
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Provider Business Mailing Address
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Address Line | 3450 BUSCHWOOD PARK DR STE 345
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City | TAMPA
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State | FL
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Zip | 33618-4447
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Country | US
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Telephone | 813-246-4899
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Fax | 813-621-6899
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Authorized Official
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Title or Position | CEO
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Name | ASHA PEREYRA
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Credential |
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Telephone | 813-246-4899
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3245S0500X
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Taxonomy Name | Children's Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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