MARION YOUTH DEVELOPMENT CENTER NPI 1629099890

NPI Information

  • NPI: 1629099890
  • Provider Name: MARION YOUTH DEVELOPMENT CENTER
  • Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
  • Entity Type: Organization
  • Address: 4055 NW 105TH ST
    OCALA, FL
    ZIP 34482
  • Phone: (352) 671-2777

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NPI Details

MARION YOUTH DEVELOPMENT CENTER is a residential treatment facility emotionally disturbed children in Ocala, FL. The provider is 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. MARION YOUTH DEVELOPMENT CENTER NPI is 1629099890. The provider is registered as an organization entity type.

The provider's business location address is:

4055 NW 105TH ST
OCALA, FL
ZIP 34482-434
Phone: (352) 671-2777
Fax: (352) 368-5940

The provider's authorized official is Brenda Lynn Carlson .
The authorized official title is Clinical Director and has the following contact phone number (352) 671-2777.

The enumeration date for this NPI number is 7/22/2006 and was last updated on 9/11/2025.

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
13245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children1342AD5690FLORIDANo
2322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenYes

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: 11/21/2025

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