Organization
FLORIDA UNITED METHODIST CHILDRENS HOME, INC.
Active
Organization
FLORIDA UNITED METHODIST CHILDRENS HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLEE KATHRYN VANCE LMFT, LMHC (DIRECTOR OF UTILIZATION MANAGEMENT)
(386) 668-4774
Entity
Organization
Contact information
Practice address
1647 NE CAPTAIN BUIE RD, PINETTA, FL 32350-2799
(850) 929-3000
Mailing address
51 CHILDRENS WAY, ENTERPRISE, FL 32725-8135
(386) 668-4774
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010934900
—
FL
Enumeration date
04/12/2021
Last updated
05/13/2021
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