MEDICARE: COMMUNITY HELPERS FOR CHILDREN AND YOUTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	251K00000X	Public Health or Welfare Agency
3	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1730872441
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY HELPERS FOR CHILDREN AND YOUTH

Provider Business Mailing Address
First Line	:	2700 S BLAIR STONE RD STE C
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32301-5927
Country	:	US
Telephone Number	:	850-597-9653
Fax Number	:

Provider Business Practice Location Address
First Line	:	2700 S BLAIR STONE RD STE C
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32301-5927
Country	:	US
Telephone Number	:	850-597-9653
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER/CEO
Name	:	ROLANDA DENNIS
Credential	:
Telephone Number	:	850-597-9653

Provider Enumeration Date	:	05/30/2023
Last Update Date	:	05/30/2023

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