Santa Rosa Youth Academy in Holt - Substance Abuse Treatment, Children
Santa Rosa Youth Academy - NPI 1568678514
Santa Rosa Youth Academy is a Substance Abuse Treatment, Children in Holt, Florida. Santa Rosa Youth Academy practices all healthcare services and medical treatments related to Substance Abuse Treatment, Children. The NPI Number for Santa Rosa Youth Academy is 1568678514. The last update date is 2009-07-14.
Santa Rosa Youth Academy's current location address is 12364 Environmental Center Rd, Holt, Florida. You can contact this provider via phone number 8509573600 and fax number 8509579000. The mailing address for Santa Rosa Youth Academy is 12364 Environmental Center Rd, Holt, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Santa Rosa Youth Academy |
|---|---|
| Address | 12364 Environmental Center Rd, Holt, Florida |
| Phone Number | 8509573600 |
| Fax Number | 8509579000 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINICAL D |
|---|---|
| Authorized Official Name | Moody Michelle |
| Credentials | L.C.S.W. |
| Telephone Number | 8509573600 |
NPI Number Detail
| NPI Number | 1568678514 |
|---|---|
| Provider Enumeration Date | 2007-05-15 |
| Last Updated Date | 2009-07-14 |
Provider Mailing Address Detail
| Address | 12364 Environmental Center Rd |
|---|---|
| City | Holt |
| State | Florida (FL) |
| Post Code | 325649126 |
| Phone Number | 8509573600 |
| Fax Number | 8509579000 |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Treatment, Children |
|---|---|
| Taxonomy | 3245S0500X |
| Licence No | 0157AD569002 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7684541 | FL | -- | |
| 70956502 | FL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Santa Rosa Youth Academy by the Centers for Medicare & Medicaid Services?
The Santa Rosa Youth Academy has been assigned the NPI (National Provider Identifier) 1568678514. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Santa Rosa Youth Academy's facilities are situated?
The facilities of Santa Rosa Youth Academy are physically located at the following address: 12364 Environmental Center Rd, Holt, FL, 325649126.
What is Santa Rosa Youth Academy's area of expertise and its corresponding taxonomy classification?
The Santa Rosa Youth Academy's field of specialization is Substance Abuse Treatment, Children, and it falls under the taxonomy code 3245S0500X, which categorizes healthcare providers based on their areas of practice.
On what date did Santa Rosa Youth Academy receive its 1568678514 assignment from the Centers for Medicare & Medicaid Services?
The Santa Rosa Youth Academy was assigned its 1568678514 on 2007-05-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Santa Rosa Youth Academy most recently updated or refreshed?
The details pertaining to the Santa Rosa Youth Academy, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-07-14.
NPI Number: 1669475885
Address: 1005 Midwestern Pkwy, Wichita Falls, TX
NPI Number: 1285637785
Address: 101 Deer Run Rd, Elgin, SC
NPI Number: 1851394431
Address: 220 Reservoir St, Harrisonburg, VA