Organization
MARION YOUTH DEVELOPMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRENDA LYNN CARLSON L.M.H.C. (CLINICAL DIRECTOR)
(352) 671-2777
Entity
Organization
Contact information
Practice address
4055 NW 105TH ST, OCALA, FL 34482-1434
(352) 671-2777
(352) 368-5940
Mailing address
4055 NW 105TH ST, OCALA, FL 34482-1434
(352) 671-2777
(352) 368-5940
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
1342AD5690
FL
Other
Enumeration date
07/22/2006
Last updated
09/11/2025
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