# FLORIDA SHERIFFS YOUTH RANCHES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013219716
- **Authorized official:** JOANNE THOMAS (MEDICAID BILLING SPECIALIST)
- **Authorized official phone:** (386) 842-5555

## Contact information

- **Practice address:** 3180 ENTERPRISE RD E, SAFETY HARBOR, FL 34695-5205
- **Practice address phone:** (727) 726-4761
- **Mailing address:** 3180 ENTERPRISE RD E, SAFETY HARBOR, FL 34695-5205
- **Mailing address phone:** (727) 726-4761

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 12/01/2010
- **Last updated:** 12/01/2010