Organization
ECKERD YOUTH ALTERNATIVES, INC. DBA ECKERD CONNECTS
Active
Other names
Eckerd
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DENNIS (CFO)
(727) 461-2990
Entity
Organization
Contact information
Practice address
1999 N AMIDON AVE, SUITE 232, WICHITA, KS 67203-2121
(316) 440-5536
Mailing address
100 STARCREST DR, CLEARWATER, FL 33765-3224
(727) 461-2990
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
0072480-005
KS
Other
Enumeration date
10/13/2015
Last updated
09/10/2019
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