Provider Demographics
NPI:1023875507
Name:YOUTH OPPORTUNITY INVESTMENTS LLC
Entity type:Organization
Organization Name:YOUTH OPPORTUNITY INVESTMENTS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:TOWNSEND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-800-3511
Mailing Address - Street 1:701 94TH AVE N.
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ST. PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33702-2448
Mailing Address - Country:US
Mailing Address - Phone:727-800-3511
Mailing Address - Fax:727-371-8890
Practice Address - Street 1:201 CULBREATH ROAD
Practice Address - Street 2:
Practice Address - City:BROOKSVILLE
Practice Address - State:FL
Practice Address - Zip Code:34602-6017
Practice Address - Country:US
Practice Address - Phone:352-799-5621
Practice Address - Fax:352-799-4457
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YOUTH OPPORTUNITY INVESTMENTS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-03-01
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
No283Q00000XHospitalsPsychiatric Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL114277100Medicaid