SANTA ROSA YOUTH ACADEMY
NPI 1568678514
Residential Treatment Facility, Emotionally Disturbed Children in Holt, FL

Q: What is Santa Rosa Youth Academy's NPI number?

The NPI number for Santa Rosa Youth Academy is 1568678514. It was assigned to this organization in the NPPES registry on May 15, 2007.

Q: What is Santa Rosa Youth Academy's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

Active since May 15, 2007

12364 ENVIRONMENTAL CENTER RD, HOLT, FL 32564(850) 957-3600(850) 957-9000 Get Directions Write a Review

NPPES record last updated: July 14, 2009. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Santa Rosa Youth Academy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANTA ROSA YOUTH ACADEMY (NPI 1568678514) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Holt, Florida and active in the NPI registry since May 2007. The organization lists Michelle Moody, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1568678514

Entity TypeOrganization

Primary Taxonomy322D00000X

Legal Business NameSANTA ROSA YOUTH ACADEMY

Location Address12364 ENVIRONMENTAL CENTER RDHolt, FL 32564-9126

Mailing Address12364 Environmental Center RdHolt, FL 32564-9126 · (850) 957-3600 · Fax (850) 957-9000

Phone(850) 957-3600

Fax(850) 957-9000

Organization SubpartYesParent: Youth Services International, Inc

Authorized OfficialMichelle MoodyClinical Director · (850) 957-3600

Enumeration DateMay 15, 2007

Last NPPES UpdateJuly 14, 2009

✔ NPI 1568678514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities

Taxonomy Code322D00000X

Definition

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

Also ListedSubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenTaxonomy 3245S0500X · License 0157AD569002 (FL)

12364 ENVIRONMENTAL CENTER RD, Holt, FL 32564

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Other Identifiers 2

Medicaid7684541FL

Medicaid070956502FL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Santa Rosa Youth Academy's NPI number?

The NPI number for Santa Rosa Youth Academy is 1568678514. It was assigned to this organization in the NPPES registry on May 15, 2007.

Where is Santa Rosa Youth Academy located?

Santa Rosa Youth Academy is located at 12364 Environmental Center Rd, Holt, FL 32564. The listed phone number is (850) 957-3600.

What is Santa Rosa Youth Academy's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Santa Rosa Youth Academy was last updated on July 14, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.