Whalio Doctors

NPI 1104263797

Eckerd Youth Alternatives, INC., Dba Eckerd Connects

Organisation Mental Illness Community Based Residential Treatment Facility Oklahoma City, OK

Practice location

Address
5350 S Western Ave Suite 600, Oklahoma City, OK 73109-4520
Phone
(405) 636-5956
Mailing address
100 Starcrest Dr, Clearwater, FL 33765-3224

Authorised official

Name
David Dennis
Title
Ceo
Phone
(727) 461-2990

Registered specialties (2)

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X
Foster Care Agency
Agencies Taxonomy 253J00000X

Registry record

NPI
1104263797
Entity type
Organization
NPI issued
23 May 2013
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.