Organization
HENRY AND RILLA WHITE YOUTH FOUNDATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA S. DURRANCE MS (CEO)
(850) 922-8375
Entity
Organization
Contact information
Practice address
305 NW CHRISTIAN CT, LAKE CITY, FL 32055-4837
(185) 092-2837
Mailing address
2833 REMINGTON GREEN CIR, TALLAHASSEE, FL 32308-3752
(185) 092-2837
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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