Youth Services International, Inc.

LBN: St Johns Youth Academy
Youth Services International, Inc. is an health care organization with primary practice located at 4500 Avenue D , St Augustine FL 32095-5245. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, Residential Treatment Facilities / Substance Abuse Treatment, Children. Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children is the primary health care specialty. St Johns Youth Academy can be contacted via phone (904) 829-8850, or through Grayson, Barika via phone (904) 829-8850.

Contact Information

Primary practice address
4500 Avenue D St Augustine FL 32095-5245
Phone: (904) 829-8850
Fax: (904) 829-8851
Website:
Map and Directions
Authorized official contact:
Name: Grayson, Barika L.M.H.C.
Phone: (904) 829-8850

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X
Residential Treatment Facilities / Substance Abuse Treatment, Children 3245S0500X 0755AD5690-09 Florida

Profile Details

NPI number 1265751762
LBN Legal business name St Johns Youth Academy
DBA Doing business as Youth Services International, Inc.
Authorized official Grayson, Barika L.M.H.C.
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2010
Last updated May 24th, 2010 - about 14 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 1265751762 NPPES
Florida Other 0755AD5690-09 SUBSTANCE ABUSE LICENSE

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