| NPI | 1225006059 |
|---|---|
| Other Name | FUMCH |
| Entity Type | Organization |
| Authorized Contact | KAYLEE VANCE Director Of Utilization Management 386-668-4774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: FL X11030599) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 253J00000X Foster Care Agency (Licence: FL X11030500) | |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2021-04-12 |