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Organization
HENRY AND RILLA WHITE YOUTH FOUNDATION, INC.
Active
Organization
HENRY AND RILLA WHITE YOUTH FOUNDATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN JUSTIN ANTHONY (TARGETED CASE MANAGEMENT SUPERVISOR)
(386) 752-7813
Entity
Organization
Contact information
Practice address
1531 SW COMMERCIAL GLN, LAKE CITY, FL 32025-0454
(386) 752-7813
(386) 752-7836
Mailing address
1531 SW COMMERCIAL GLN, LAKE CITY, FL 32025-0454
(386) 752-7813
(386) 752-7836
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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