Project Youth Haven in Paterson - Residential Treatment Facility, Emotionally Disturbed Children
Project Youth Haven - NPI 1073641908
Project Youth Haven is a Residential Treatment Facility, Emotionally Disturbed Children in Paterson, New Jersey. Project Youth Haven practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Project Youth Haven is 1073641908. The last update date is 2020-08-22.
Project Youth Haven's current location address is 212 Slater St, Paterson, New Jersey. You can contact this provider via phone number 9738811611. The mailing address for Project Youth Haven is 212 Slater St, Paterson, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Project Youth Haven |
|---|---|
| Address | 212 Slater St, Paterson, New Jersey |
| Phone Number | 9738811611 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Vesota Robert |
| Telephone Number | 9738810280 |
NPI Number Detail
| NPI Number | 1073641908 |
|---|---|
| Provider Enumeration Date | 2007-03-01 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 212 Slater St |
|---|---|
| City | Paterson |
| State | New Jersey (NJ) |
| Post Code | 75012839 |
| Phone Number | 9738811611 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
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Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
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Post Comment/ Review Below
What is the unique identifier code issued to Project Youth Haven by the Centers for Medicare & Medicaid Services (CMS)?
The Project Youth Haven has been assigned the NPI (National Provider Identifier) 1073641908. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Project Youth Haven?
The Project Youth Haven is physically situated at 212 Slater St, in the city of Paterson, state of NJ, with the postal code 75012839.
What is Project Youth Haven's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Project Youth Haven's specialized field of practice is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy code that categorizes this area of specialization is 322D00000X.
On what date did the Project Youth Haven receive the assignment of its 1073641908 from the Centers for Medicare & Medicaid Services?
The Project Youth Haven was issued its 1073641908 by the Centers for Medicare & Medicaid Services on 2007-03-01.
As of what date was the information pertaining to Project Youth Haven, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Project Youth Haven, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.