| Eckerd Youth Alternatives | |
|
4654 High Rock Rd Boomer NC 28606-9109 | |
| (336) 921-3300 | |
| (336) 921-4320 |
| Full Name | Eckerd Youth Alternatives |
|---|---|
| Speciality | Psychiatric Residential Treatment Facility |
| Location | 4654 High Rock Rd, Boomer, North Carolina |
| Authorized Official Name and Position | Nicole Stroebel (CONTROLLER) |
| Authorized Official Contact | 7274612990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eckerd Youth Alternatives 100 Starcrest Dr Clearwater FL 33765-3224 Ph: (727) 461-2990 | Eckerd Youth Alternatives 4654 High Rock Rd Boomer NC 28606-9109 Ph: (336) 921-3300 |
| NPI Number | 1336218486 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 11/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336218486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 323P00000X | Psychiatric Residential Treatment Facility | (* (Not Available)) | Primary |