Organization
YOUTH VILLAGE OF VOLUSIA COUNTY INC
Active
Other names
'OUR' CHILDREN FIRST
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FRANCES MOCCIA (CHIEF EXECUTIVE OFFICER)
(386) 248-2771
Entity
Organization
Contact information
Practice address
517 S RIDGEWOOD AVE, DAYTONA BEACH, FL 32114-4929
(386) 248-2771
(386) 248-2874
Mailing address
517 S RIDGEWOOD AVE, DAYTONA BEACH, FL 32114-4929
(386) 248-2771
(386) 248-2874
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
752892200
—
FL
05
—
752892201
—
FL
05
—
761652000
—
FL
Enumeration date
08/05/2006
Last updated
10/07/2010
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