Santa Rosa Youth Academy

NPI #1568678514 in Holt, Florida

Provider Information

NPI Number
1568678514
Entity Type
Organization
Organization Name
Santa Rosa Youth Academy
Subpart
Yes (part of a larger organization)
Parent Organization
YOUTH SERVICES INTERNATIONAL, INC
Primary Specialty
Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
May 15, 2007
Last Updated
Jul 14, 2009

Practice Location

Address
12364 ENVIRONMENTAL CENTER RD
City
Holt
State
Florida
ZIP Code
32564-9126
Phone
(850) 957-3600

Authorized Official

Name
MS. MICHELLE MOODY, L.C.S.W.
Title
CLINICAL DIRECTOR
Phone
(850) 957-3600

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, ChildrenSubstance Abuse Treatment, Children
Residential Treatment Facility, Emotionally Disturbed Children

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