# BOYS TOWN NORTH FLORIDA, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Girls and Boys Town of North Florida, Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285711960
- **Authorized official:** MR. MARCUS LAMPKIN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (850) 504-5017

## Contact information

- **Practice address:** 3555 COMMONWEALTH BLVD, TALLAHASSEE, FL 32303-3119
- **Practice address phone:** (850) 575-6422
- **Practice address fax:** (850) 575-7158
- **Mailing address:** 3555 COMMONWEALTH BLVD, TALLAHASSEE, FL 32303-3119
- **Mailing address phone:** (850) 575-6422
- **Mailing address fax:** (850) 575-7158

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 0700-01-06 | FL | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 03/01/2019