OrganizationActive
Youth Environmental Services
NPI 1104066638 · Mental Illness Community Based Residential Treatment Facility · Wimauma, FL
Provider details
- NPI number
- 1104066638
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Associated Marine Institutes
- Organization subpart
- Yes
- Authorized official
- Amanda Boyd, Business Manager(813) 671-5213
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4337 Saffold Rd
Wimauma, FL 33598-4419
Phone: (813) 671-5213
Fax: (813) 671-5216
Street-level locationGet directions
Mailing address
4337 Saffolrd Rd
Wimauma, FL 33598-4419
Registry dates
- Enumerated
- 2009-02-24
- Last updated
- 2009-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.