St Augustine Youth Services

LBN: St Augustine Youth Services
St Augustine Youth Services is an health care organization with primary practice located at 201 Simone Way , St. Augustine FL 32086. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. St Augustine Youth Services can be contacted via phone (904) 829-1770, or through Siefker, Schuyler S. via phone (904) 829-1770.

Contact Information

Primary practice address
201 Simone Way St. Augustine FL 32086
Phone: (904) 829-1770
Fax: (904) 825-0604
Website:
Map and Directions
Authorized official contact:
Name: Siefker, Schuyler S.
Phone: (904) 829-1770

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X 0206-61-16 Florida

Profile Details

NPI number 1699816900
LBN Legal business name St Augustine Youth Services
DBA Doing business as
Authorized official Siefker, Schuyler S.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2007
Last updated Aug 27th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699816900 NPPES
Florida MEDICAID 029585003
Florida MEDICAID 029585000

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