Organization
FLORIDA SHERIFFS YOUTH RANCHES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILL FRYE (VP OF PROGRAMS)
(386) 842-5501
Entity
Organization
Contact information
Practice address
3350 STATE ROAD 60 E, BARTOW, FL 33830-8471
(863) 533-0371
Mailing address
3350 STATE ROAD 60 E, BARTOW, FL 33830-8471
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
858012627900C0
FL
Other
Enumeration date
03/01/2011
Last updated
03/01/2011
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