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Santa Rosa Youth Academy
Children's Substance Abuse Rehabilitation Facility in Holt, Florida
NPI 1568678514

Santa Rosa Youth Academy is a Children's Substance Abuse Rehabilitation Facility based in Holt, FL and is specialized in Substance Abuse Treatment, Children. Santa Rosa Youth Academy practices in Holt, FL. The NPI Number for Santa Rosa Youth Academy is 1568678514 and holds a License No. (Florida).

The current practice location address for Santa Rosa Youth Academy is 12364 Environmental Center Rd, Holt, FL and can be reached out via phone at 850-957-3600 and via fax at 850-957-9000.

Location: 12364 Environmental Center Rd, Holt, FL, 32564-9126
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568678514
Provider Name
Santa Rosa Youth Academy
Credential
Provider Entity Type
Organization
Address
12364 Environmental Center Rd, Holt, FL, 32564-9126
Phone Number
850-957-3600
Fax Number
850-957-9000
Provider Enumeration Date
05/15/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7684541 05 FL
070956502 05 FL
institution
Provider Business Practice Location Address Details
Address
12364 Environmental Center Rd
City
Holt
State
Florida
Zip
32564-9126
Phone Number
850-957-3600
Fax Number
850-957-9000
person
Provider Business Mailing Address Details
Address
12364 Environmental Center Rd
City
Holt
State
Florida
Zip
32564-9126
Phone Number
850-957-3600
Fax Number
850-957-9000
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
0157AD569002 (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.
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