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Organization
INSPIRE YOUTH ACADEMY LLC
Active
Organization
INSPIRE YOUTH ACADEMY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER WALSH (MEMBER)
(813) 644-7753
Entity
Organization
Contact information
Practice address
757 SE 17TH ST, #328, FT LAUDERDALE, FL 33316-2960
(813) 644-7753
(888) 482-2405
Mailing address
24 SW 10TH ST, UNIT A, FT LAUDERDALE, FL 33315-1272
(813) 644-7753
(888) 482-2405
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
11/14/2014
Last updated
11/14/2014
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