OKALOOSA YOUTH DEVELOPMENT CENTER – NPI #1568576098
Substance Abuse Rehabilitation Facility

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.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

OKALOOSA YOUTH DEVELOPMENT CENTER is a substance abuse rehabilitation facility located in CRESTVIEW, FL. NPPES has assigned the NPI number 1568576098 to OKALOOSA YOUTH DEVELOPMENT CENTER on August 19, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 3245S0500X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. 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 OKALOOSA YOUTH DEVELOPMENT CENTER below.

NPI Profile for
OKALOOSA YOUTH DEVELOPMENT CENTER

NPI Number
1568576098
Enumeration Date

(about 20 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
OKALOOSA YOUTH DEVELOPMENT CENTER
Primary location
4449 STRAIGHLINE ROAD
CRESTVIEW, FL 32539
Phone: (850) 683-3900 Fax: (850) 683-3908
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
NANCY CAUDILL
CLINICAL DIRECTOR
Phone: (850) 683-3900
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
3245S0500X
- Substance Abuse Rehabilitation Facility / Substance Abuse Treatment, Children (Primary)		 FL

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.