| Tykes & Teens, Inc. | |
|
900 Se Ocean Blvd Stuart FL 34994-3502 | |
| (772) 220-3439 | |
| (772) 220-3484 |
| Full Name | Tykes & Teens, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 900 Se Ocean Blvd, Stuart, Florida |
| Authorized Official Name and Position | Kimberly Jeasonne (GRANT AND CONTRACT MANGER) |
| Authorized Official Contact | 7722100156 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tykes & Teens, Inc. 900 Se Ocean Blvd Stuart FL 34994-2471 Ph: (772) 220-3439 | Tykes & Teens, Inc. 900 Se Ocean Blvd Stuart FL 34994-3502 Ph: (772) 220-3439 |
| NPI Number | 1093710303 |
|---|---|
| Provider Enumeration Date | 06/15/2005 |
| Last Update Date | 03/13/2024 |
| Certification Date | 03/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093710303 | NPI | - | NPPES |
| 360230300 | Medicaid | FL |
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