Provider Demographics
NPI:1013039213
Name:THE MORRIS CENTER
Entity Type:Organization
Organization Name:THE MORRIS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TIM
Authorized Official - Middle Name:W
Authorized Official - Last Name:CONWAY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:352-332-2629
Mailing Address - Street 1:5930 SW ARCHER ROAD
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-4702
Mailing Address - Country:US
Mailing Address - Phone:352-332-2629
Mailing Address - Fax:352-283-8650
Practice Address - Street 1:5930 SW ARCHER ROAD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-4702
Practice Address - Country:US
Practice Address - Phone:352-332-2629
Practice Address - Fax:352-283-8650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME88464261QD1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities