Organization
GLOBAL YOUTH SERVICES BOWLING GREEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC LEON GALLON (CEO)
(863) 860-1035
Entity
Organization
Contact information
Practice address
2953 WILSON RD, LAND O LAKES, FL 34638-4364
(813) 949-8698
(813) 909-8476
Mailing address
2953 WILSON RD, LAND O LAKES, FL 34638-4364
(813) 949-8698
(813) 909-8476
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/25/2007
Last updated
08/17/2007
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