# HENRY AND RILLA WHITE YOUTH FOUNDATION INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740672518
- **Authorized official:** TAMEIKA RICE (TARGETED CASE MANAGER)
- **Authorized official phone:** (386) 752-7813

## Contact information

- **Practice address:** 305 NW CHRISTIAN CT, LAKE CITY, FL 32055-4837
- **Practice address phone:** (386) 752-7813
- **Mailing address:** 305 NW CHRISTIAN CT, LAKE CITY, FL 32055-4837

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 03/03/2015
- **Last updated:** 03/03/2015