# DYNAMIC YOUTH SUPPORT SERVICES, LLC

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

## Provider details

- **NPI number:** 1184063430
- **Authorized official:** MR. DANTE LEVELL JOHNSON (PRESIDENT)
- **Authorized official phone:** (407) 770-7611

## Contact information

- **Practice address:** 823 W CENTRAL BLVD, ORLANDO, FL 32805-1808
- **Practice address phone:** (407) 347-7396
- **Mailing address:** PO BOX 550116, ORLANDO, FL 32855-0116
- **Mailing address phone:** (407) 347-7396

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 03802013876 | FL | Yes |

## Other

- **Enumeration date:** 06/20/2013
- **Last updated:** 06/20/2013