MARION YOUTH DEVELOPMENT CENTER
NPI 1629099890
Residential Treatment Facility, Emotionally Disturbed Children in Ocala, FL
- Organization
- Residential Treatment Facility, Emotiona...
About MARION YOUTH DEVELOPMENT CENTER
This page provides the complete NPI Profile along with additional information for Marion Youth Development Center, a provider established in Ocala, Florida operating as a Residential Treatment Facility, Emotionally Disturbed Children. The healthcare provider is registered in the NPI registry with number 1629099890 assigned on July 2006. The practitioner's primary taxonomy code is 322D00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Ms. Brenda Lynn Carlson L.m.h.c. (Clinical Director)
- NPI
- 1629099890 Verify this NPI
- Provider Name
- MARION YOUTH DEVELOPMENT CENTER
- Entity Type
- Organization
- Location Address
- 4055 NW 105TH ST OCALA, FL 34482
- Location Phone
- (352) 671-2777
- Location Fax
- (352) 368-5940
- Mailing Address
- 4055 NW 105TH ST OCALA, FL 34482
- Mailing Phone
- (352) 671-2777
- Mailing Fax
- (352) 368-5940
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-22-2006
- Last Update Date
- 09-11-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Residential Treatment Facility, Emotionally Disturbed Children
- Taxonomy Code
- 322D00000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 3245S0500X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | 1342AD5690 (FL) |
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629099890, enumerated as an "organization" on July 22, 2006.
The provider is located at 4055 NW 105TH ST OCALA, FL 34482 and the phone number is (352) 671-2777.
Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.
