| Henry And Rilla White Youth Foundation, Inc. | |
|
305 Nw Christian Ct Lake City FL 32055-4837 | |
| (185) 092-2837 | |
| Not Available |
| Full Name | Henry And Rilla White Youth Foundation, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 305 Nw Christian Ct, Lake City, Florida |
| Authorized Official Name and Position | Linda S. Durrance (CEO) |
| Authorized Official Contact | 8509228375 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Henry And Rilla White Youth Foundation, Inc. 2833 Remington Green Cir Tallahassee FL 32308-3752 Ph: (185) 092-2837 | Henry And Rilla White Youth Foundation, Inc. 305 Nw Christian Ct Lake City FL 32055-4837 Ph: (185) 092-2837 |
| NPI Number | 1427725969 |
|---|---|
| Provider Enumeration Date | 08/24/2021 |
| Last Update Date | 08/24/2021 |
| Certification Date | 08/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427725969 | NPI | - | NPPES |
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