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:
Health care specialties
Specialty | Code | License # | 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 15 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1265751762 | NPPES |
Florida | Other | 0755AD5690-09 | SUBSTANCE ABUSE LICENSE |
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