Organization
ECKERD YOUTH ALTERNATIVES , INC. DBA ECKERD CONNECTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DENNIS (CFO)
(727) 461-2990
Entity
Organization
Contact information
Practice address
1414 ERASTE LANDRY RD, LAFAYETTE, LA 70506-1900
(337) 456-6668
Mailing address
100 STARCREST DR, CLEARWATER, FL 33765-3224
(727) 461-2990
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/25/2019
Last updated
10/07/2022
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