Organization
FLORIDA SHERIFFS YOUTH RANCHES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE THOMAS (MEDICAID BILLING SPECIALIST)
(386) 842-5555
Entity
Organization
Contact information
Practice address
3180 ENTERPRISE RD E, SAFETY HARBOR, FL 34695-5205
(727) 726-4761
Mailing address
3180 ENTERPRISE RD E, SAFETY HARBOR, FL 34695-5205
(727) 726-4761
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/01/2010
Last updated
12/01/2010
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