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Organization
YOUTH & FAMILY BEHAVIORAL HEALTH CENTER, INC.
Active
Organization
YOUTH & FAMILY BEHAVIORAL HEALTH CENTER, INC.
Active
Parent organization
YOUTH & FAMILY BEHAVIORAL HEALTH CENTER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
YOUTH & FAMILY BEHAVIORAL HEALTH CENTER, INC.
Authorized official
MARIE MARCELLE A MONVAL (ADMINISTRATOR)
(772) 242-1079
Entity
Organization
Contact information
Practice address
2011 S 25TH ST STE 108, FORT PIERCE, FL 34947-4795
(772) 242-1079
(772) 242-1296
Mailing address
2011 S 25TH ST STE 108, FORT PIERCE, FL 34947-4795
(772) 242-1079
(772) 242-1296
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
251B00000X
251B00000X
—
Enumeration date
08/16/2021
Last updated
08/16/2021
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