Organization
ECKERD YOUTH ALTERNATIVES, INC.
Active
Organization
ECKERD YOUTH ALTERNATIVES, INC.
Active
Other names
Eckerd Connects
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DENNIS (CFO)
(727) 461-2990
Entity
Organization
Contact information
Practice address
7027 E STAGE COACH TRAIL, FLORAL CITY, FL 34436-3542
(352) 726-3883
(352) 726-3260
Mailing address
100 STARCREST DR, CLEARWATER, FL 33765-3224
(727) 461-2990
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253J00000X
Foster Care Agency
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Enumeration date
11/06/2006
Last updated
07/01/2021
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