OrganizationActive
St Augustine Youth Services
NPI 1699816900 · Mental Illness Community Based Residential Treatment Facility · St. Augustine, FL
Provider details
- NPI number
- 1699816900
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Schuyler Siefker, Executive Director(904) 829-1770
- License
- 0206-61-16 (FL)
Specialties & taxonomies
- Mental Illness Community Based Residential Treatment FacilityPrimary320800000XLicense 0206-61-16 (FL)
Residential Treatment Facilities
Practice location
201 Simone Way
St. Augustine, FL 32086
Phone: (904) 829-1770
Fax: (904) 825-0604
Approximate (ZIP-level) locationGet directions
Mailing address
201 Simone Way
St. Augustine, FL 32086
Registry dates
- Enumerated
- 2007-02-09
- Last updated
- 2014-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.