Organization
G4S YOUTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNADETTE M SHAIA (ACCOUNTING MANAGER)
(804) 754-1100
Entity
Organization
Contact information
Practice address
18500 SW 424TH ST, FLORIDA CITY, FL 33034-7100
(305) 247-6492
(305) 247-1881
Mailing address
9609 GAYTON RD STE 100, RICHMOND, VA 23238-4900
(804) 754-1100
(804) 741-9515
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
1113AD990301
FL
Other
Enumeration date
05/23/2008
Last updated
05/23/2008
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