Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Santa Rosa Youth Academy

Organization Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1568678514

Santa Rosa Youth Academy is an Emotionally Disturbed Childrens' Residential Treatment Facility in Holt, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
Specialties on file
2

Practice location Address checks out

12364 Environmental Center Rd
Holt, FL 32564-9126
Phone: (850) 957-3600
Fax: (850) 957-9000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X
Children's Substance Abuse Rehabilitation Facility Taxonomy 3245S0500X · Licence 0157AD569002 (FL)

Record details

NPI number1568678514
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationYouth Services International, Inc
Authorized official Michelle Moody — Clinical Director · (850) 957-3600
NPI enumeratedMay 15, 2007
Last updated in NPPESJuly 14, 2009
Mailing address12364 Environmental Center Rd, Holt, FL 32564-9126