Organization · NPI-2
Marion Youth Development Center
Residential Treatment Facility, Emotionally Disturbed Children · Ocala, FL
NPI number1629099890
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1629099890
- Entity type
- Organization (NPI-2)
- Legal business name
- Marion Youth Development Center
- Organization subpart
- No
- Enumeration date
- Jul 22, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | – | – | Yes |
| 3245S0500X | Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | 1342AD5690 | FL |
Practice location
4055 Nw 105th StOcala, FL 34482-1434
Phone 352-671-2777 · Fax 352-368-5940
Mailing address
4055 Nw 105th StOcala, FL 34482-1434
Phone 352-671-2777 · Fax 352-368-5940
Authorized official
Brenda Lynn Carlson
Clinical Director
3526712777
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