Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
PANAMA YOUTH SERVICES, INC
Active
Organization
PANAMA YOUTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIE JAMES GREEN JR. M.S. (EXECUTIVE DIRECTOR)
(904) 527-3953
Entity
Organization
Contact information
Practice address
7287 WILDER AVE, JACKSONVILLE, FL 32208
(904) 527-3953
(904) 683-0067
Mailing address
402 EAST 63RD STREET, JACKSONVILLE, FL 32208
(904) 527-3953
(904) 683-0067
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0416AD444101
FL
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up