Organization
ECKERD YOUTH ALTERNATIVES, INC., DBA ECKERD CONNECTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DENNIS (CEO)
(727) 461-2990
Entity
Organization
Contact information
Practice address
5350 S WESTERN AVE, SUITE 600, OKLAHOMA CITY, OK 73109-4520
(405) 636-5956
Mailing address
100 STARCREST DR, CLEARWATER, FL 33765-3224
(727) 461-2990
(727) 216-0088
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/23/2013
Last updated
09/10/2019
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