Twin Oaks Juvenile Development, Inc | |
11939 Nw State Road 20 Bristol FL 32321-3416 | |
(850) 643-1090 | |
(850) 643-1091 |
Full Name | Twin Oaks Juvenile Development, Inc |
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Speciality | Social Worker |
Location | 11939 Nw State Road 20, Bristol, Florida |
Authorized Official Name and Position | Donald B Read (CEO) |
Authorized Official Contact | 8506431090 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Twin Oaks Juvenile Development, Inc Po Box 68 Bristol FL 32321-0068 Ph: (850) 643-1090 | Twin Oaks Juvenile Development, Inc 11939 Nw State Road 20 Bristol FL 32321-3416 Ph: (850) 643-1090 |
NPI Number | 1649221011 |
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Provider Enumeration Date | 05/12/2006 |
Last Update Date | 10/18/2007 |
Identifier | Type | State | Issuer |
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1649221011 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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104100000X | Social Worker | (* (Not Available)) | Primary |
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