Organization
HENRY AND RILLA WHITE YOUTH FOUNDATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN JUSTIN ANTHONY (TARGETED CASE MANAGEMENT SUPERVISOR)
(386) 752-7813
Entity
Organization
Contact information
Practice address
1531 SW COMMERCIAL GLN, LAKE CITY, FL 32025-0454
(386) 752-7813
(386) 752-7836
Mailing address
1531 SW COMMERCIAL GLN, LAKE CITY, FL 32025-0454
(386) 752-7813
(386) 752-7836
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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