NPI 1104263797
Eckerd Youth Alternatives, INC., Dba Eckerd Connects
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
Foster Care Agency
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.