1265751762 ST JOHNS YOUTH ACADEMY

Emotionally Disturbed Childrens' Residential Treatment Facility

Active

Basic Information

Organization Name
ST JOHNS YOUTH ACADEMY
Enumeration Date
May 24, 2010
Last Update
May 24, 2010
Authorized Official
MS. BARIKA GRAYSON L.M.H.C.
CLINICAL DIRECTOR
Phone: (904) 829-8850

Practice Location

Address
4500 AVENUE D
ST AUGUSTINE, FL 320955245
Phone
(904) 829-8850
Fax
(904) 829-8851

Mailing Address

Address
4500 AVENUE D
ST AUGUSTINE, FL 320955245
Phone
(904) 829-8850
Fax
(904) 829-8851

Specialties & Taxonomies

Specialty Code Classification License State Primary
Children's Substance Abuse Rehabilitation Facility
Substance Abuse Treatment, Children
3245S0500X Substance Abuse Rehabilitation Facility 0755AD5690-09 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
0755AD5690-09 01 FL SUBSTANCE ABUSE LICENSE

Frequently Asked Questions

What is ST JOHNS YOUTH ACADEMY's NPI number?
ST JOHNS YOUTH ACADEMY's NPI number is 1265751762.
Which doctor has NPI number 1265751762?
The doctor with NPI number 1265751762 is ST JOHNS YOUTH ACADEMY.
What is ST JOHNS YOUTH ACADEMY's practice address?
ST JOHNS YOUTH ACADEMY's practice address is 4500 AVENUE D, ST AUGUSTINE, FL, 320955245.
Which doctor practices at 4500 AVENUE D, ST AUGUSTINE, FL, 320955245?
ST JOHNS YOUTH ACADEMY practices at 4500 AVENUE D, ST AUGUSTINE, FL, 320955245.
What is ST JOHNS YOUTH ACADEMY's phone number?
ST JOHNS YOUTH ACADEMY's phone number is (904) 829-8850.
Who is (904) 829-8850?
(904) 829-8850 is the phone number for ST JOHNS YOUTH ACADEMY.
What is ST JOHNS YOUTH ACADEMY's specialty?
ST JOHNS YOUTH ACADEMY's specialty is Emotionally Disturbed Childrens' Residential Treatment Facility.
What type of doctor is ST JOHNS YOUTH ACADEMY?
ST JOHNS YOUTH ACADEMY is a Emotionally Disturbed Childrens' Residential Treatment Facility.
Is ST JOHNS YOUTH ACADEMY a Residential Treatment Facility, Emotionally Disturbed Children?
Yes, ST JOHNS YOUTH ACADEMY is a Residential Treatment Facility, Emotionally Disturbed Children.
Is ST JOHNS YOUTH ACADEMY still practicing?
Yes, ST JOHNS YOUTH ACADEMY is currently practicing.
Is ST JOHNS YOUTH ACADEMY accepting new patients?
ST JOHNS YOUTH ACADEMY may be accepting new patients. Please call their office at (904) 829-8850 to inquire about availability.
Is NPI 1265751762 still active?
Yes, NPI 1265751762 is currently active.
Where does ST JOHNS YOUTH ACADEMY practice?
ST JOHNS YOUTH ACADEMY practices in ST AUGUSTINE, FL.