| Global Youth Services Bowling Green | |
|
2953 Wilson Rd Land O Lakes FL 34638-4364 | |
| (813) 949-8698 | |
| (813) 909-8476 |
| Full Name | Global Youth Services Bowling Green |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2953 Wilson Rd, Land O Lakes, Florida |
| Authorized Official Name and Position | Eric Leon Gallon (CEO) |
| Authorized Official Contact | 8638601035 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Global Youth Services Bowling Green 2953 Wilson Rd Land O Lakes FL 34638-4364 Ph: (813) 949-8698 | Global Youth Services Bowling Green 2953 Wilson Rd Land O Lakes FL 34638-4364 Ph: (813) 949-8698 |
| NPI Number | 1356547533 |
|---|---|
| Provider Enumeration Date | 06/25/2007 |
| Last Update Date | 08/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356547533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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