Organization
FLORIDA SHERIFFS YOUTH RANCHES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA K DANIELS (PROGRAM BILLING SPECIALIST)
(386) 842-5501
Entity
Organization
Contact information
Practice address
2486 CECIL WEBB PL, LIVE OAK, FL 32060-8337
(386) 842-5501
(386) 842-2429
Mailing address
PO BOX 2000, BOYS RANCH, FL 32064
(386) 842-5501
(386) 842-2429
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/14/2006
Last updated
08/22/2020
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