# ECKERD YOUTH ALTERNATIVES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Eckerd Connects
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336218486
- **Authorized official:** NICOLE STROEBEL (CONTROLLER)
- **Authorized official phone:** (727) 461-2990

## Contact information

- **Practice address:** 4654 HIGH ROCK RD, BOOMER, NC 28606-9109
- **Practice address phone:** (336) 921-3300
- **Practice address fax:** (336) 921-4320
- **Mailing address:** 100 STARCREST DR, CLEARWATER, FL 33765-3224
- **Mailing address phone:** (727) 461-2990
- **Mailing address fax:** (727) 216-0055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | — | — |
| 323P00000X | Psychiatric Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 11/06/2006
- **Last updated:** 11/20/2019