Organization
CHILDREN'S HOME SOCIETY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTI LYNN SRICHAN (CLINICAL COUNSELOR)
(850) 819-5518
Entity
Organization
Contact information
Practice address
914 HARRISON AVE, PANAMA CITY, FL 32401-2528
(850) 747-5411
Mailing address
222 S CHARLENE DR, PANAMA CITY, FL 32404-7903
(850) 819-5518
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/07/2015
Last updated
12/07/2015
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