MEDICARE: GLOBAL YOUTH SERVICES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	323P00000X	Psychiatric Residential Treatment Facility

General Provider Information

NPI Number	:	1902870108
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLOBAL YOUTH SERVICES

Provider Business Mailing Address
First Line	:	2953 WILSON RD
Second Line	:
City	:	LAND O LAKES
State	:	FL
Zip	:	34638-4364
Country	:	US
Telephone Number	:	863-860-1035
Fax Number	:	813-909-8476

Provider Business Practice Location Address
First Line	:	2953 WILSON RD
Second Line	:
City	:	LAND O LAKES
State	:	FL
Zip	:	34638-4364
Country	:	US
Telephone Number	:	863-860-1035
Fax Number	:	813-909-8476

Authorized Official
Title or Position	:	CEO
Name	:	MR. ERIC L GALLON
Credential	:
Telephone Number	:	863-860-1035

Provider Enumeration Date	:	02/14/2006
Last Update Date	:	08/22/2020

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Directions to “GLOBAL YOUTH SERVICES ” Practice Location

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