Okaloosa Youth Development Center in Crestview - Substance Abuse Treatment, Children
Okaloosa Youth Development Center - NPI 1568576098
Okaloosa Youth Development Center is a Substance Abuse Treatment, Children in Crestview, Florida. Okaloosa Youth Development Center practices all healthcare services and medical treatments related to Substance Abuse Treatment, Children. The NPI Number for Okaloosa Youth Development Center is 1568576098. The last update date is 2022-07-21.
Okaloosa Youth Development Center's current location address is 4449 Straighline Road, Crestview, Florida. You can contact this provider via phone number 8506833900 and fax number 8506833908. The mailing address for Okaloosa Youth Development Center is 4449 Straighline Road, Crestview, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Okaloosa Youth Development Center |
|---|---|
| Address | 4449 Straighline Road, Crestview, Florida |
| Phone Number | 8506833900 |
| Fax Number | 8506833908 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINICAL D |
|---|---|
| Authorized Official Name | Caudill Ann Nancy |
| Credentials | L.C.S.W. |
| Telephone Number | 8506833900 |
NPI Number Detail
| NPI Number | 1568576098 |
|---|---|
| Provider Enumeration Date | 2006-08-19 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 4449 Straighline Road |
|---|---|
| City | Crestview |
| State | Florida (FL) |
| Post Code | 32539 |
| Phone Number | 8506833900 |
| Fax Number | 8506833908 |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Treatment, Children |
|---|---|
| Taxonomy | 3245S0500X |
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Definition: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and su |
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What is the unique 10-digit identification code assigned to Okaloosa Youth Development Center by the Centers for Medicare & Medicaid Services?
The Okaloosa Youth Development Center has been issued the NPI (National Provider Identifier) 1568576098, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Okaloosa Youth Development Center is located?
The Okaloosa Youth Development Center is situated at the following address: 4449 Straighline Road, Crestview, FL, 32539.
What is the Okaloosa Youth Development Center's specialty and taxonomy code?
The Okaloosa Youth Development Center's specialty is Substance Abuse Treatment, Children, and the corresponding taxonomy code is 3245S0500X.
On what date did the Okaloosa Youth Development Center receive the assignment of its 1568576098 from the Centers for Medicare & Medicaid Services?
The Okaloosa Youth Development Center was issued its 1568576098 by the Centers for Medicare & Medicaid Services on 2006-08-19.
When was the information regarding Okaloosa Youth Development Center most recently updated?
The details pertaining to the Okaloosa Youth Development Center, including its address, specialty, and other relevant information, were last refreshed on 2022-07-21.
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