Heart of Florida Youth Ranch

NPI #1992019806 in Citra, Florida

Provider Information

NPI Number
1992019806
Entity Type
Organization
Organization Name
Heart of Florida Youth Ranch
Primary Specialty
Community/Behavioral Health
Enumeration Date
Aug 3, 2010
Last Updated
Aug 3, 2010

Practice Location

Address
15833 N US HIGHWAY 301
City
Citra
State
Florida
ZIP Code
32113-3155
Phone
(352) 595-7100

Authorized Official

Name
DR. TOM MARSHALL FRYE, PH.D.
Title
ADMINISTRATOR
Phone
(352) 595-7100

Specialties & Taxonomy Codes

Specialty
Case Management
Foster Care Agency
Community/Behavioral Health

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