Iest. Augustine Youth Services
NPI #1023417045 in St Augustine, Florida
Provider Information
- NPI Number
- 1023417045
- Entity Type
- Organization
- Organization Name
- Iest. Augustine Youth Services
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Aug 14, 2014
- Last Updated
- Aug 14, 2014
Practice Location
- Address
- 201 SIMONE WAY
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32086-7750
- Phone
- (904) 829-1770
Authorized Official
- Name
- MS. SCHUYLER S. SIEFKER
- Title
- EXECUTIVE DIRECTOR
- Phone
- (904) 829-1770
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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