St Augustine Youth Services in St. Augustine - Community Based Residential Treatment Facility, Mental Illness
St Augustine Youth Services - NPI 1699816900
St Augustine Youth Services is a Community Based Residential Treatment Facility, Mental Illness in St. Augustine, Florida. St Augustine Youth Services practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for St Augustine Youth Services is 1699816900. The last update date is 2014-08-27.
St Augustine Youth Services's current location address is 201 Simone Way, St. Augustine, Florida. You can contact this provider via phone number 9048291770 and fax number 9048250604. The mailing address for St Augustine Youth Services is 201 Simone Way, St. Augustine, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | St Augustine Youth Services |
|---|---|
| Address | 201 Simone Way, St. Augustine, Florida |
| Phone Number | 9048291770 |
| Fax Number | 9048250604 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Siefker S. Schuyler |
| Telephone Number | 9048291770 |
NPI Number Detail
| NPI Number | 1699816900 |
|---|---|
| Provider Enumeration Date | 2007-02-09 |
| Last Updated Date | 2014-08-27 |
Provider Mailing Address Detail
| Address | 201 Simone Way |
|---|---|
| City | St. Augustine |
| State | Florida (FL) |
| Post Code | 32086 |
| Phone Number | 9048291770 |
| Fax Number | 9048250604 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
| Licence No | 0206-61-16 |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 29585003 | FL | -- | |
| 29585000 | FL | -- |
Post Comment/ Review Below
What is the St Augustine Youth Services's unique identification number?
The St Augustine Youth Services has been assigned the NPI (National Provider Identifier) Number 1699816900 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where St Augustine Youth Services is physically located?
The St Augustine Youth Services is situated at the following address: 201 Simone Way, St. Augustine, FL 32086.
What is St Augustine Youth Services's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The St Augustine Youth Services's specialized field of practice is Community Based Residential Treatment Facility, Mental Illness, and the corresponding taxonomy code that categorizes this area of specialization is 320800000X.
When was the St Augustine Youth Services's 1699816900 issued?
The St Augustine Youth Services's 1699816900 was issued on 2007-02-09.
When was the information pertaining to St Augustine Youth Services most recently updated or revised?
The details related to St Augustine Youth Services, including its address, specialty, and other relevant information, were last updated or revised on 2014-08-27.
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