Child's Play Foundation, Inc. | |
6210 Harmony Ln Yankeetown FL 34498-2369 | |
(352) 447-1775 | |
(352) 447-2165 |
Full Name | Child's Play Foundation, Inc. |
---|---|
Speciality | Registered Nurse - Psychiatric/mental Health, Child & Adolescent |
Location | 6210 Harmony Ln, Yankeetown, Florida |
Authorized Official Name and Position | Penny L Phares (DIRECTOR OF SERVICES) |
Authorized Official Contact | 3524471775 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Child's Play Foundation, Inc. 14 Hickory Ave Yankeetown FL 34498-2424 Ph: (352) 447-1775 | Child's Play Foundation, Inc. 6210 Harmony Ln Yankeetown FL 34498-2369 Ph: (352) 447-1775 |
NPI Number | 1689878837 |
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Provider Enumeration Date | 06/12/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689878837 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
163WP0807X | Registered Nurse - Psychiatric/mental Health, Child & Adolescent | (* (Not Available)) | Primary |
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