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Organization

BOYS TOWN NORTH FLORIDA, INC

Active
Other names
Girls and Boys Town of North Florida, Inc
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARCUS LAMPKIN (EXECUTIVE DIRECTOR)
(850) 504-5017
Entity
Organization

Contact information

Practice address
3555 COMMONWEALTH BLVD, TALLAHASSEE, FL 32303-3119
(850) 575-6422
(850) 575-7158
Mailing address
3555 COMMONWEALTH BLVD, TALLAHASSEE, FL 32303-3119
(850) 575-6422
(850) 575-7158

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
0700-01-06
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004546400
FL
05
0550469-01
FL
05
0550469-04
FL
05
055046901
FL
05
055046904
FL
Enumeration date
11/01/2006
Last updated
03/01/2019
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