| Child's Play Foundation, Inc. | |
|
6210 Harmony Ln Yankeetown FL 34498-2369 | |
| (352) 447-1775 | |
| (352) 447-2165 |
| Full Name | Child's Play Foundation, Inc. |
|---|---|
| Speciality | Registered Nurse - Psychiatric/mental Health, Child & Adolescent |
| Location | 6210 Harmony Ln, Yankeetown, Florida |
| Authorized Official Name and Position | Penny L Phares (DIRECTOR OF SERVICES) |
| Authorized Official Contact | 3524471775 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child's Play Foundation, Inc. 14 Hickory Ave Yankeetown FL 34498-2424 Ph: (352) 447-1775 | Child's Play Foundation, Inc. 6210 Harmony Ln Yankeetown FL 34498-2369 Ph: (352) 447-1775 |
| NPI Number | 1689878837 |
|---|---|
| Provider Enumeration Date | 06/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689878837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 163WP0807X | Registered Nurse - Psychiatric/mental Health, Child & Adolescent | (* (Not Available)) | Primary |