location
search-icon
institution
St Johns Youth Academy
Children's Substance Abuse Rehabilitation Facility in St Augustine, Florida
NPI 1265751762

St Johns Youth Academy is a Children's Substance Abuse Rehabilitation Facility based in St Augustine, FL and is specialized in Substance Abuse Treatment, Children. St Johns Youth Academy practices in St Augustine, FL. The NPI Number for St Johns Youth Academy is 1265751762 and holds a License No. (Florida).

The current practice location address for St Johns Youth Academy is 4500 Avenue D, St Augustine, FL and can be reached out via phone at 904-829-8850 and via fax at 904-829-8851.

Location: 4500 Avenue D, St Augustine, FL, 32095-5245
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265751762
Provider Name
St Johns Youth Academy
Credential
Provider Entity Type
Organization
Address
4500 Avenue D, St Augustine, FL, 32095-5245
Phone Number
904-829-8850
Fax Number
904-829-8851
Provider Enumeration Date
05/24/2010
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
0755AD5690-09 01 FL SUBSTANCE ABUSE LICENSE
institution
Provider Business Practice Location Address Details
Address
4500 Avenue D
City
St Augustine
State
Florida
Zip
32095-5245
Phone Number
904-829-8850
Fax Number
904-829-8851
person
Provider Business Mailing Address Details
Address
4500 Avenue D
City
St Augustine
State
Florida
Zip
32095-5245
Phone Number
904-829-8850
Fax Number
904-829-8851
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
0755AD5690-09 (Florida)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
Substance Abuse Treatment, Children
Taxonomy
3245S0500X
License No.
()
Definition
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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.