Organization
OKALOOSA YOUTH DEVELOPMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY ANN CAUDILL L.C.S.W. (CLINICAL DIRECTOR)
(850) 683-3900
Entity
Organization
Contact information
Practice address
4449 STRAIGHLINE ROAD, CRESTVIEW, FL 32539
(850) 683-3900
(850) 683-3908
Mailing address
4449 STRAIGHLINE ROAD, CRESTVIEW, FL 32539
(850) 683-3900
(850) 683-3908
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
FL
Other
Enumeration date
08/19/2006
Last updated
07/21/2022
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