person
Mr. Christian William Olson
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Clearwater, Florida
NPI 1467755959

Christian William Olson is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Clearwater, FL. Christian William Olson practices in Clearwater, FL. The NPI Number for Christian William Olson is 1467755959 and holds a License No. (Florida).

The current practice location address for Christian William Olson is 1250 Palm St, Clearwater, FL and can be reached out via phone at 727-510-4584 and via fax at 727-442-2211. You can also correspond with Christian William Olson through the mailing address at 1250 PALM ST, CLEARWATER, FL - 33755-1129 (mailing address contact number: 727-510-4584).

Location: 1250 Palm St, Clearwater, FL, 33755-1129
person
Provider Profile Details
NPI Number
1467755959
Provider Name
Christian William Olson
Credential
Provider Entity Type
Individual
Gender
Male
Address
1250 Palm St, Clearwater, FL, 33755-1129
Phone Number
727-510-4584
Fax Number
727-442-2211
Provider Enumeration Date
12/06/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
002247100 05 FL
institution
Provider Business Practice Location Address Details
Address
1250 Palm St
City
State
Zip
33755-1129
Phone Number
727-510-4584
Fax Number
727-442-2211
person
Provider Business Mailing Address Details
Address
1250 Palm St
City
State
Zip
33755-1129
Phone Number
727-510-4584
Fax Number
727-442-2211
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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