Bristol Youth Academy

LBN: Bristol Youth Academy
Bristol Youth Academy is an health care organization with primary practice located at 12422 Nw Gordon Truett Revell Rd , Bristol FL 32321-3007. The organization recently has only one registered license in Residential Treatment Facilities / Psychiatric Residential Treatment Facility, which is considered as the primary health care specialty. Bristol Youth Academy can be contacted via phone (850) 643-4600, or through Jackson, Jeanette via phone (850) 643-4600.

Contact Information

Primary practice address
12422 Nw Gordon Truett Revell Rd Bristol FL 32321-3007
Phone: (850) 643-4600
Fax: (850) 643-2061
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Jeanette
Phone: (850) 643-4600

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X

Profile Details

NPI number 1447359435
LBN Legal business name Bristol Youth Academy
DBA Doing business as
Authorized official Jackson, Jeanette
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2006
Last updated Jul 21st, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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