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Organization

HENRY AND RILLA WHITE YOUTH FOUNDATION INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TAMEIKA RICE (TARGETED CASE MANAGER)
(386) 752-7813
Entity
Organization

Contact information

Practice address
305 NW CHRISTIAN CT, LAKE CITY, FL 32055-4837
(386) 752-7813
Mailing address
305 NW CHRISTIAN CT, LAKE CITY, FL 32055-4837

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
251S00000X
Community/Behavioral Health Agency

Other

Enumeration date
03/03/2015
Last updated
03/03/2015
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