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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