Eckerd Youth Alternatives
NPI #1336218486 in Boomer, North Carolina
Provider Information
- NPI Number
- 1336218486
- Entity Type
- Organization
- Organization Name
- Eckerd Youth Alternatives
- Primary Specialty
- Psychiatric Residential Treatment Facility
- Enumeration Date
- Nov 6, 2006
- Last Updated
- Nov 20, 2019
Practice Location
- Address
- 4654 HIGH ROCK RD
- City
- Boomer
- State
- North Carolina
- ZIP Code
- 28606-9109
- Phone
- (336) 921-3300
Authorized Official
- Name
- NICOLE STROEBEL
- Title
- CONTROLLER
- Phone
- (727) 461-2990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
| Psychiatric Residential Treatment Facility |
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