Iest. Augustine Youth Services
Emotionally Disturbed Childrens' Residential Treatment Facility in St Augustine, FL(View on Map)
Legal Business Name
Iest. Augustine Youth Services
NPI Number
1023417045
NPI Type
Organization
Enumeration Date
08/14/2014
Specialties
(Taxonomies)Code
322D00000X
Primary Taxonomy
Yes
Licenses
State
Florida
License Number
MH4993
Contact
Information
Purpose
Mailing
Location
Address
201 SIMONE WAY
201 SIMONE WAY
City
St Augustine
St Augustine
State
FL
FL
Postal Code
32086-7750
32086-7750
Country
US
US
Telephone Number
(904) 829-1770
(904) 829-1770
Authorized Official
Name
Ms. Schuyler Siefker
Title or Position
EXECUTIVE DIRECTOR
Telephone Number
(904) 829-1770
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/14/2014
Provider Address
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