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Organization
ECKERD YOUTH ALTERNATIVES
Active
Organization
ECKERD YOUTH ALTERNATIVES
Active
Other names
Eckerd Connects
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE STROEBEL (CONTROLLER)
(727) 461-2990
Entity
Organization
Contact information
Practice address
4654 HIGH ROCK RD, BOOMER, NC 28606-9109
(336) 921-3300
(336) 921-4320
Mailing address
100 STARCREST DR, CLEARWATER, FL 33765-3224
(727) 461-2990
(727) 216-0055
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/06/2006
Last updated
11/20/2019
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