| G4s Youth Services | |
|
242 South Blvd Avon Park FL 33825-9200 | |
| (863) 452-3815 | |
| Not Available |
| Full Name | G4s Youth Services |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 242 South Blvd, Avon Park, Florida |
| Authorized Official Name and Position | Carl Padgett (BUSINESS MANAGER) |
| Authorized Official Contact | 8634523815 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| G4s Youth Services 242 South Blvd Avon Park FL 33825-9200 Ph: () - | G4s Youth Services 242 South Blvd Avon Park FL 33825-9200 Ph: (863) 452-3815 |
| NPI Number | 1467611947 |
|---|---|
| Provider Enumeration Date | 06/09/2008 |
| Last Update Date | 06/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467611947 | NPI | - | NPPES |
| 057930103 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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