NPI 1104066638
Youth Environmental Services
Practice location
- Address
- 4337 Saffold Rd, Wimauma, FL 33598-4419
- Phone
- (813) 671-5213
- Fax
- (813) 671-5216
- Mailing address
- 4337 Saffolrd Rd, Wimauma, FL 33598-4419
Authorised official
- Name
- Amanda Lea Boyd
- Title
- Business Manager
- Phone
- (813) 671-5213
Registered specialties
Mental Illness Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1104066638
- Entity type
- Organization
- NPI issued
- 24 Feb 2009
- Record last updated
- 24 Feb 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.