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Mr. Hayden Tyler Wygant
Mental Illness Community Based Residential Treatment Facility in Gainesville, Florida
NPI 1811398753

Hayden Tyler Wygant is a Mental Illness Community Based Residential Treatment Facility based in Gainesville, FL. Hayden Tyler Wygant practices in Gainesville, FL. The NPI Number for Hayden Tyler Wygant is 1811398753 and holds a License No. (Florida).

The current practice location address for Hayden Tyler Wygant is 4300 Sw 13Th St, Gainesville, FL and can be reached out via phone at 352-374-5600. You can also correspond with Hayden Tyler Wygant through the mailing address at 4300 SW 13TH ST, GAINESVILLE, FL - 32608-4006 (mailing address contact number: 352-374-5600).

Location: 4300 Sw 13Th St, Gainesville, FL, 32608-4006
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811398753
Provider Name
Hayden Tyler Wygant
Credential
Provider Entity Type
Individual
Gender
Male
Address
4300 Sw 13Th St, Gainesville, FL, 32608-4006
Phone Number
352-374-5600
Fax Number
Provider Enumeration Date
09/10/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4300 Sw 13Th St
City
Gainesville
State
Florida
Zip
32608-4006
Phone Number
352-374-5600
Fax Number
person
Provider Business Mailing Address Details
Address
4300 Sw 13Th St
City
Gainesville
State
Florida
Zip
32608-4006
Phone Number
352-374-5600
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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