Whalio Doctors

NPI 1104066638

Youth Environmental Services

Organisation Mental Illness Community Based Residential Treatment Facility Wimauma, FL

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
Residential Treatment Facilities Taxonomy 320800000X

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.