Organization
ECKERD YOUTH ALTERNATIVES, INC. DBA ECKERD CONNECTS
Active
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
(405) 636-5962
Mailing address
100 STARCREST DR, CLEARWATER, FL 33765-3224
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
05/16/2013
Last updated
09/10/2019
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