# SEQUEL TSI OF FLORIDA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SEQUEL TSI HOLDINGS, LLC
- **Other names:** Palm Beach Youth Academy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1699222026
- **Legal business name:** SEQUEL TSI HOLDINGS, LLC
- **Authorized official:** MR. KENNY ROBERTS (SVP OPERATIONS)
- **Authorized official phone:** (256) 880-3339

## Contact information

- **Practice address:** 9680 FAIRGROUND RD, WEST PALM BEACH, FL 33411-3528
- **Practice address phone:** (561) 333-0664
- **Mailing address:** 9680 FAIRGROUND RD, WEST PALM BEACH, FL 33411-3528
- **Mailing address phone:** (561) 333-0664

## Taxonomy

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

## Other

- **Enumeration date:** 09/01/2016
- **Last updated:** 09/01/2016