# MARION YOUTH DEVELOPMENT CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629099890
- **Authorized official:** MS. BRENDA LYNN CARLSON L.M.H.C. (CLINICAL DIRECTOR)
- **Authorized official phone:** (352) 671-2777

## Contact information

- **Practice address:** 4055 NW 105TH ST, OCALA, FL 34482-1434
- **Practice address phone:** (352) 671-2777
- **Practice address fax:** (352) 368-5940
- **Mailing address:** 4055 NW 105TH ST, OCALA, FL 34482-1434
- **Mailing address phone:** (352) 671-2777
- **Mailing address fax:** (352) 368-5940

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | Yes |
| 3245S0500X | Children's Substance Abuse Rehabilitation Facility | 1342AD5690 | FL | — |

## Other

- **Enumeration date:** 07/22/2006
- **Last updated:** 09/11/2025