OrganizationActive
Santa Rosa Youth Academy
NPI 1568678514 · Emotionally Disturbed Childrens' Residential Treatment Facility · Holt, FL
Provider details
- NPI number
- 1568678514
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Youth Services International, Inc
- Organization subpart
- Yes
- Authorized official
- Michelle Moody, Clinical Director(850) 957-3600
- License
- 0157AD569002 (FL)
Specialties & taxonomies
Residential Treatment Facilities
Residential Treatment Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
12364 Environmental Center Rd
Holt, FL 32564-9126
Phone: (850) 957-3600
Fax: (850) 957-9000
Street-level locationGet directions
Mailing address
12364 Environmental Center Rd
Holt, FL 32564-9126
Registry dates
- Enumerated
- 2007-05-15
- Last updated
- 2009-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.