Youth Development Institute in Phoenix - Community Based Residential Treatment Facility, Mental Illness
Youth Development Institute - NPI 1871668871
Youth Development Institute is a Community Based Residential Treatment Facility, Mental Illness in Phoenix, Arizona. Youth Development Institute practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Youth Development Institute is 1871668871. The last update date is 2020-08-22.
Youth Development Institute's current location address is 1830 E Roosevelt St, Phoenix, Arizona. You can contact this provider via phone number 6022565300. The mailing address for Youth Development Institute is 1830 E Roosevelt St, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Youth Development Institute |
|---|---|
| Address | 1830 E Roosevelt St, Phoenix, Arizona |
| Phone Number | 6022565300 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ASSOCIATE |
|---|---|
| Authorized Official Name | Cocoros Trish |
| Telephone Number | 6022565311 |
NPI Number Detail
| NPI Number | 1871668871 |
|---|---|
| Provider Enumeration Date | 2006-11-22 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1830 E Roosevelt St |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850063641 |
| Phone Number | 6022565300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
| Licence No | BH-311 |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 877748 | AZ | AHCCCS PROVIDER ID # |
Post Comment/ Review Below
What is the unique identification code assigned to Youth Development Institute by the Centers for Medicare & Medicaid Services?
The Youth Development Institute has been issued the NPI (National Provider Identifier) 1871668871. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Youth Development Institute is geographically located?
The Youth Development Institute is physically situated at the following location: 1830 E Roosevelt St, Phoenix, AZ, 850063641.
What is the Youth Development Institute's specialty and taxonomy code?
The Youth Development Institute's specialty is Community Based Residential Treatment Facility, Mental Illness, and the corresponding taxonomy code is 320800000X.
On what date did Youth Development Institute receive its 1871668871 assignment from the Centers for Medicare & Medicaid Services?
The Youth Development Institute was assigned its 1871668871 on 2006-11-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Youth Development Institute most recently updated or revised?
The information pertaining to Youth Development Institute, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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