Heart of Florida Youth Ranch
Organization Active NPI Community/Behavioral Health Agency · Citra, FL
NPI 1992019806 · NPPES record last updated Aug 3, 2010
Key facts
- NPI
- 1992019806
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- HEART OF FLORIDA YOUTH RANCH
- Practice address
- 15833 N US Highway 301
Citra, FL 32113-3155 - Phone
- (352) 595-7100
- Fax
- (352) 595-4135
- NPI assigned
- Aug 3, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Tom Marshall Frye, PH.D.
- Title
- Administrator
- Phone
- (352) 595-7100
Practitioners 2
-
Joshua Luis Sarmiento, LMHC,SAP,MCAP,NCC
National Provider Directory
Locations
15833 N US Highway 301
Citra, FL 32113
Phone (352) 595-7100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Yes | ||
| Foster Care Agency | 253J00000X |
Addresses
Primary practice location
15833 N US Highway 301
Citra, FL 32113-3155
Mailing address
PO Box 336
15833 US 301 N
Citra, FL 32113-0336
Phone (352) 595-7100
Other providers in Citra, FL
- Stacy Ray Eubanks
- Megan R Feagle
- David Wayne Fields
- Benjamin Finch
- Cara Rebecca Gilison
- Eric Steven Hoffman
- Breinne Holt
- Nicholas Charles Klinger
- Jillian Knutz
- Michael Lamb
All providers in Citra, FL · Community/Behavioral Health Agency in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.