ECKERD YOUTH ALTERNATIVES INC. DBA ECKERD CONNECTS NPI 1104263797

NPI Information

NPI: 1104263797
Provider Name: ECKERD YOUTH ALTERNATIVES, INC., DBA ECKERD CONNECTS
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
5350 S WESTERN AVE
SUITE 600
OKLAHOMA CITY, OK
ZIP 73109
Phone: (405) 636-5956
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ECKERD YOUTH ALTERNATIVES, INC., DBA ECKERD CONNECTS is a community based residential treatment facility mental illness in Oklahoma City, OK. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. ECKERD YOUTH ALTERNATIVES, INC., DBA ECKERD CONNECTS NPI is 1104263797. The provider is registered as an organization entity type.

The provider's business location address is:

5350 S WESTERN AVE
SUITE 600
OKLAHOMA CITY, OK
ZIP 73109-520
Phone: (405) 636-5956

The provider's authorized official is David Dennis .
The authorized official title is Ceo and has the following contact phone number (727) 461-2990.

The enumeration date for this NPI number is 5/23/2013 and was last updated on 9/10/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	253J00000X	Foster Care Agency				No
2	320800000X	Community Based Residential Treatment Facility, Mental Illness				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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