Organization
YOUTHTRACK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEENA OMBRES (PRIVACY OFFICER)
(502) 394-2387
Entity
Organization
Contact information
Practice address
2692 US HIGHWAY 1 S, S GERONA BUILDING, ST AUGUSTINE, FL 32086-4903
(904) 794-7033
Mailing address
9901 LINN STATION RD, LOUISVILLE, KY 40223-3808
(800) 866-0860
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
FL
Other
Enumeration date
04/01/2008
Last updated
09/03/2008
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