1568678514 SANTA ROSA YOUTH ACADEMY
Emotionally Disturbed Childrens' Residential Treatment Facility
Active
Basic Information
- Organization Name
- SANTA ROSA YOUTH ACADEMY
- Enumeration Date
- May 15, 2007
- Last Update
- July 14, 2009
- Authorized Official
- MS. MICHELLE MOODY L.C.S.W.
CLINICAL DIRECTOR
Phone: (850) 957-3600
Practice Location
- Address
- 12364 ENVIRONMENTAL CENTER RD
HOLT, FL 325649126 - Phone
- (850) 957-3600
- Fax
- (850) 957-9000
Mailing Address
- Address
- 12364 ENVIRONMENTAL CENTER RD
HOLT, FL 325649126 - Phone
- (850) 957-3600
- Fax
- (850) 957-9000
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Children's Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children | 3245S0500X | Substance Abuse Rehabilitation Facility | 0157AD569002 | FL | No |
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7684541 | 05 | FL | N/A |
| 070956502 | 05 | FL | N/A |
Frequently Asked Questions
What is SANTA ROSA YOUTH ACADEMY's NPI number?
SANTA ROSA YOUTH ACADEMY's NPI number is 1568678514.
Which doctor has NPI number 1568678514?
The doctor with NPI number 1568678514 is SANTA ROSA YOUTH ACADEMY.
What is SANTA ROSA YOUTH ACADEMY's practice address?
SANTA ROSA YOUTH ACADEMY's practice address is 12364 ENVIRONMENTAL CENTER RD, HOLT, FL, 325649126.
Which doctor practices at 12364 ENVIRONMENTAL CENTER RD, HOLT, FL, 325649126?
SANTA ROSA YOUTH ACADEMY practices at 12364 ENVIRONMENTAL CENTER RD, HOLT, FL, 325649126.
What is SANTA ROSA YOUTH ACADEMY's phone number?
SANTA ROSA YOUTH ACADEMY's phone number is (850) 957-3600.
Who is (850) 957-3600?
(850) 957-3600 is the phone number for SANTA ROSA YOUTH ACADEMY.
What is SANTA ROSA YOUTH ACADEMY's specialty?
SANTA ROSA YOUTH ACADEMY's specialty is Emotionally Disturbed Childrens' Residential Treatment Facility.
What type of doctor is SANTA ROSA YOUTH ACADEMY?
SANTA ROSA YOUTH ACADEMY is a Emotionally Disturbed Childrens' Residential Treatment Facility.
Is SANTA ROSA YOUTH ACADEMY a Residential Treatment Facility, Emotionally Disturbed Children?
Yes, SANTA ROSA YOUTH ACADEMY is a Residential Treatment Facility, Emotionally Disturbed Children.
Is SANTA ROSA YOUTH ACADEMY still practicing?
Yes, SANTA ROSA YOUTH ACADEMY is currently practicing.
Is SANTA ROSA YOUTH ACADEMY accepting new patients?
SANTA ROSA YOUTH ACADEMY may be accepting new patients. Please call their office at (850) 957-3600 to inquire about availability.
Is NPI 1568678514 still active?
Yes, NPI 1568678514 is currently active.
Where does SANTA ROSA YOUTH ACADEMY practice?
SANTA ROSA YOUTH ACADEMY practices in HOLT, FL.