Organization
CHILD'S PLAY FOUNDATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PENNY L PHARES ARNP (DIRECTOR OF SERVICES)
(352) 447-1775
Entity
Organization
Contact information
Practice address
6210 HARMONY LN, YANKEETOWN, FL 34498-2369
(352) 447-1775
(352) 447-2165
Mailing address
14 HICKORY AVE, YANKEETOWN, FL 34498-2424
(352) 447-1775
(352) 447-2165
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
—
—
Other
Enumeration date
06/12/2007
Last updated
09/11/2025
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