| Henry And Rilla White Youth Foundation Inc. | |
|
305 Nw Christian Ct Lake City FL 32055-4837 | |
| (386) 752-7813 | |
| Not Available |
| Full Name | Henry And Rilla White Youth Foundation Inc. |
|---|---|
| Speciality | Case Management |
| Location | 305 Nw Christian Ct, Lake City, Florida |
| Authorized Official Name and Position | Tameika Rice (TARGETED CASE MANAGER) |
| Authorized Official Contact | 3867527813 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Henry And Rilla White Youth Foundation Inc. 305 Nw Christian Ct Lake City FL 32055-4837 Ph: () - | Henry And Rilla White Youth Foundation Inc. 305 Nw Christian Ct Lake City FL 32055-4837 Ph: (386) 752-7813 |
| NPI Number | 1740672518 |
|---|---|
| Provider Enumeration Date | 03/03/2015 |
| Last Update Date | 03/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740672518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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