ECKERD YOUTH ALTERNATIVES, INC., DBA ECKERD CONNECTS – NPI #1104263797
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Mental Illness

ECKERD YOUTH ALTERNATIVES, INC., DBA ECKERD CONNECTS is a community based residential treatment facility located in OKLAHOMA CITY, OK. NPPES has assigned the NPI number 1104263797 to ECKERD YOUTH ALTERNATIVES, INC., DBA ECKERD CONNECTS on May 23, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

The NPI profile was previously updated about 7 years ago on Sep 10, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ECKERD YOUTH ALTERNATIVES, INC., DBA ECKERD CONNECTS below.

NPI Profile for
ECKERD YOUTH ALTERNATIVES, INC., DBA ECKERD CONNECTS

NPI Number
1104263797
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ECKERD YOUTH ALTERNATIVES, INC., DBA ECKERD CONNECTS
Primary location
5350 S WESTERN AVE
SUITE 600
OKLAHOMA CITY, OK 73109-4520
Phone: (405) 636-5956 Fax:
Mailing address
100 STARCREST DR
CLEARWATER, FL 33765-3224
Phone: (727) 461-2990 Fax: (727) 216-0088
Organization Subpart
No
Authorized Official
DAVID DENNIS
CEO
Phone: (727) 461-2990
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)
253J00000X
- Foster Care Agency

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.