| Eckerd Youth Alternatives Inc | |
|
500 E Ku Sumee Dr Candor NC 27229-9058 | |
| (910) 974-4183 | |
| (910) 974-7310 |
| Full Name | Eckerd Youth Alternatives Inc |
|---|---|
| Speciality | Psychiatric Residential Treatment Facility |
| Location | 500 E Ku Sumee Dr, Candor, North Carolina |
| Authorized Official Name and Position | Nicole Stroebel (CFO) |
| Authorized Official Contact | 7274612990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eckerd Youth Alternatives Inc 100 Starcrest Dr Clearwater FL 33765-3224 Ph: (727) 461-2990 | Eckerd Youth Alternatives Inc 500 E Ku Sumee Dr Candor NC 27229-9058 Ph: (910) 974-4183 |
| NPI Number | 1336218429 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 09/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336218429 | NPI | - | NPPES |
| 901MXH | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 323P00000X | Psychiatric Residential Treatment Facility | (* (Not Available)) | Primary |
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