NPI 1629099890

Marion Youth Development Center

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Ocala, FL

Practice location

Address: 4055 NW 105th St, Ocala, FL 34482-1434
Phone: (352) 671-2777
Fax: (352) 368-5940

Authorised official

Name: Brenda Lynn Carlson
Title: Clinical Director
Phone: (352) 671-2777

Registered specialties (2)

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Florida →

Children's Substance Abuse Rehabilitation Facility

Residential Treatment Facilities Taxonomy 3245S0500X Licence 1342AD5690 (FL)

Other Substance Abuse Rehabilitation Facility providers in Florida →

Registry record

NPI: 1629099890
Entity type: Organization
NPI issued: 22 Jul 2006
Record last updated: 11 Sep 2025

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.