OKALOOSA YOUTH DEVELOPMENT CENTER (NPI# 1568576098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568576098 |
| Entity Type | Organization |
| Organization Name | OKALOOSA YOUTH DEVELOPMENT CENTER |
| Practice Address |
4449 Straighline Road Crestview FL 32539 |
| Practice Telephone | 8506833900 |
| Practice Fax Number | 8506833908 |
| Mailing Telephone | 8506833900 |
| Mailing Fax Number | 8506833908 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. NANCY ANN CAUDILL (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 8506833900 |
| Authorized Official Credential | L.C.S.W. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
========= | FL | Residential Treatment Facilities |
| Street Address |
4449 STRAIGHLINE ROAD |
| City | CRESTVIEW |
| State | FL |
| Zip Code | 32539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326418336 | Abc Pediatrics of Okaloosa | Pediatrics | 182 E. Redstone Ave, Suite B, Crestview, FL 32539 | 2015-10-02 |
| 1336498443 | Jessica Carolina Carroll | Counselor | 259 E. Oakdale Ave, Crestview, FL 32539 | 2012-09-05 |
| 1902167166 | Patricia Guess | Registered Nurse | 6011 Aubrey Lee Ln, Crestview, FL 32539 | 2012-06-05 |
| 1699048181 | Chien Nguyen | Clinical Medical Laboratory | 151 East Redstone Avenue, Crestview, FL 32539 | 2012-02-15 |
| 1043494164 | Crestview Mri | Clinic/Center | 700 Hospital Drive, Crestview, FL 32539 | 2007-12-26 |
| 1558581215 | Barnes Healthcare of Fl LLC | Durable Medical Equipment & Medical Supplies | 450 Brookmeade Dr, Crestview, FL 32539 | 2007-04-26 |
| 1154368181 | Marcello Borzatta | Surgery | 129 E. Redstone Ave, Suite A, Crestview, FL 32539 | 2006-05-31 |
| 1902850258 | Panhandle Orthopaedics LLC | Physical Therapist | 710 Hospital Drive, Crestview, FL 32539 | 2006-05-20 |
| 1619941440 | Yale R Smith | Anesthesiology | 151 Redstone Ave Se, Pinnacle Physicians LLC, Crestview, FL 32539 | 2006-02-16 |
| 1093707309 | Robert Po-chen Huang | Orthopaedic Surgery | 710 Hospital Dr, Crestview, FL 32539 | 2005-08-22 |
| Find all providers in zip 32539 | ||||
| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174056527 | Recovery Village | Substance Abuse Rehabilitation Facility | 5994 Nw 74th St, Parkland, FL 33067-2451 | 2017-04-04 |
| 1699222026 | Sequel Tsi of Florida, LLC | Substance Abuse Rehabilitation Facility | 9680 Fairground Rd, West Palm Beach, FL 33411-3528 | 2016-09-01 |
| 1619371531 | Carolina Botero | Substance Abuse Rehabilitation Facility | 169 E Flagler St Suite 1300, Miami, FL 33131 | 2014-10-21 |
| 1497166292 | Saved By Grace | Substance Abuse Rehabilitation Facility | 245 S Swinton Ave, Delray Beach, FL 33444-3657 | 2014-05-14 |
| 1346680733 | Singer Island Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 4400 N Congress Ave, Suite 101, West Palm Beach, FL 33407 | 2013-06-28 |
| 1326485475 | Shores Treatment and Recovery Service LLC | Substance Abuse Rehabilitation Facility | 8493 S Us Highway 1, Unit 14, Port St Lucie, FL 34952-3360 | 2013-05-30 |
| 1740572239 | Medi-bill Plus Inc. | Substance Abuse Rehabilitation Facility | 2040 Nw 28th St, Oakland Park, FL 33311-2116 | 2011-05-03 |
| 1265751762 | St Johns Youth Academy | Substance Abuse Rehabilitation Facility | 4500 Avenue D, St Augustine, FL 32095-5245 | 2010-05-24 |
| 1336478304 | Sequel Tsi of Florida, LLC Marion Program | Substance Abuse Rehabilitation Facility | 10420 Nw Gainesville Rd, Ocala, FL 34482-1446 | 2009-12-21 |
| 1912235870 | Sequel Tsi of Florida, LLC Union Program | Substance Abuse Rehabilitation Facility | 14692 Ne County Road 199, Raiford, FL 32083-2519 | 2009-12-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.