Organization · Type 2 NPI

Iest. Augustine Youth Services

Emotionally Disturbed Childrens' Residential Treatment Facility · St. Augustine, FL

NPI number 1023417045 Active

Practice location

201 Simone Way
St. Augustine, FL 32086-7750

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XMH4993 (FL)

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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About NPI 1023417045

Iest. Augustine Youth Services's National Provider Identifier is 1023417045, issued on Aug 14, 2014. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in St. Augustine, FL. The record was last updated on Aug 14, 2014.