Organization
YOUTH & FAMILY BEHAVIORAL HEALTH CENTER, INC.
Active
Organization
YOUTH & FAMILY BEHAVIORAL HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEAN MARY MONVAL MS (EXECUTIVE DIRECTOR)
(772) 242-1079
Entity
Organization
Contact information
Practice address
2011 S 25TH ST STE 108, FORT PIERCE, FL 34947-4795
(772) 242-1079
Mailing address
2011 S 25TH ST STE 108, FORT PIERCE, FL 34947-4795
(772) 242-1079
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
302R00000X
Health Maintenance Organization
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018691700
—
FL
Enumeration date
08/02/2016
Last updated
03/07/2024
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