Avon Park Youth Academy

LBN: G4S Youth Services, Llc
Avon Park Youth Academy is an health care organization with primary practice located at 2145 Bob Phillips Rd , Bartow FL 33830-6700. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. G4S Youth Services, Llc can be contacted via phone (863) 519-5581, or through Knott, Kerry L. via phone (561) 691-6729.

Contact Information

Primary practice address
2145 Bob Phillips Rd Bartow FL 33830-6700
Phone: (863) 519-5581
Fax: (863) 519-6603
Website:
Map and Directions
Authorized official contact:
Name: Knott, Kerry L.
Phone: (561) 691-6729

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X Florida

Profile Details

NPI number 1740596022
LBN Legal business name G4S Youth Services, Llc
DBA Doing business as Avon Park Youth Academy
Authorized official Knott, Kerry L.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2010
Last updated Aug 25th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740596022 NPPES
Florida MEDICAID 070754502

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