NPI 1073984258

Eckerd Youth Alternatives, INC. Dba Eckerd Connects

Organisation Foster Care Agency Wichita, KS

Practice location

Address: 1999 N Amidon Ave Suite 232, Wichita, KS 67203-2121
Phone: (316) 440-5536
Mailing address: 100 Starcrest Dr, Clearwater, FL 33765-3224

Authorised official

Name: David Dennis
Title: Cfo
Phone: (727) 461-2990

Registered specialties

Foster Care Agency Primary

Agencies Taxonomy 253J00000X Licence 0072480-005 (KS)

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Registry record

NPI: 1073984258
Entity type: Organization
NPI issued: 13 Oct 2015
Record last updated: 10 Sep 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.