OrganizationActive
Bristol Youth Academy
NPI 1447359435 · Psychiatric Residential Treatment Facility · Bristol, FL
Provider details
- NPI number
- 1447359435
- Entity type
- Organization
- Primary specialty
- Psychiatric Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jeanette Jackson, Admin(850) 643-4600
Specialties & taxonomies
Residential Treatment Facilities
Practice location
12422 Nw Gordon Truett Revell Rd
Bristol, FL 32321-3007
Phone: (850) 643-4600
Fax: (850) 643-2061
Approximate (ZIP-level) locationGet directions
Mailing address
12422 Nw Gordon Truett Revell Rd
Bristol, FL 32321-3007
Registry dates
- Enumerated
- 2006-09-22
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.