Youth Environmental Services

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

YOUTH ENVIRONMENTAL SERVICES

Practice address

4337 Saffold Rd
Wimauma, FL 33598-4419

Phone

(813) 671-5213

Fax

(813) 671-5216

NPI assigned

Feb 24, 2009

Organization subpart

Yes

Parent organization

ASSOCIATED MARINE INSTITUTESAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amanda Lea Boyd

Title

Business Manager

Phone

(813) 671-5213

Specialties & licenses 1

Addresses

Part of

Amikids Inc

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1104066638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4337 SAFFOLRD RD",
            "city": "WIMAUMA",
            "state": "FL",
            "postal_code": "335984419",
            "telephone_number": "813-671-5213",
            "fax_number": "813-671-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4337 SAFFOLD RD",
            "city": "WIMAUMA",
            "state": "FL",
            "postal_code": "335984419",
            "telephone_number": "813-671-5213",
            "fax_number": "813-671-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH ENVIRONMENTAL SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASSOCIATED MARINE INSTITUTES",
        "enumeration_date": "2009-02-24",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "813-671-5213"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Illness Community Based Residential Treatment Facility in Wimauma, FL
• Providers in Wimauma, FL by specialty
• Mental Illness Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.