Youth Adult Care Management in Concord - Residential Treatment Facility, Emotionally Disturbed Children
Youth Adult Care Management - NPI 1639203326
Youth Adult Care Management is a Residential Treatment Facility, Emotionally Disturbed Children in Concord, North Carolina. Youth Adult Care Management practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Youth Adult Care Management is 1639203326. The last update date is 2007-08-01.
Youth Adult Care Management's current location address is Po Box 1013, Concord, North Carolina. You can contact this provider via phone number 7049333505. The mailing address for Youth Adult Care Management is Po Box 1013, Concord, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Youth Adult Care Management |
|---|---|
| Address | Po Box 1013, Concord, North Carolina |
| Phone Number | 7049333505 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Black Chon |
| Telephone Number | 7049333505 |
NPI Number Detail
| NPI Number | 1639203326 |
|---|---|
| Provider Enumeration Date | 2007-03-15 |
| Last Updated Date | 2007-08-01 |
Provider Mailing Address Detail
| Address | Po Box 1013 |
|---|---|
| City | Concord |
| State | North Carolina (NC) |
| Post Code | 280261013 |
| Phone Number | 7049333505 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | MHL-013-080 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6603206 | NC | -- | |
| 015WC | NC | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Youth Adult Care Management by the Centers for Medicare & Medicaid Services?
The Youth Adult Care Management has been issued the NPI (National Provider Identifier) 1639203326, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Youth Adult Care Management is physically located?
The Youth Adult Care Management is situated at the following address: Po Box 1013, Concord, NC 280261013.
What is Youth Adult Care Management's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Youth Adult Care Management is Residential Treatment Facility, Emotionally Disturbed Children, and the taxonomy code that categorizes this field of expertise is 322D00000X.
On what date did the Youth Adult Care Management receive its 1639203326 assignment from the Centers for Medicare & Medicaid Services?
The Youth Adult Care Management was assigned its 1639203326 by the Centers for Medicare & Medicaid Services on 2007-03-15.
As of what date was the information pertaining to Youth Adult Care Management, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Youth Adult Care Management, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-08-01.