Phyd, Inc. (Pretty Homes Youth Development) in Raleigh - Residential Treatment Facility, Emotionally Disturbed Children
Phyd, Inc. (Pretty Homes Youth Development) - NPI 1003005240
Phyd, Inc. (Pretty Homes Youth Development) is a Residential Treatment Facility, Emotionally Disturbed Children in Raleigh, North Carolina. Phyd, Inc. (Pretty Homes Youth Development) practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Phyd, Inc. (Pretty Homes Youth Development) is 1003005240. The last update date is 2009-03-26.
Phyd, Inc. (Pretty Homes Youth Development)'s current location address is 1611 Poole Rd, Raleigh, North Carolina. You can contact this provider via phone number 9197130035 and fax number 9197130034. The mailing address for Phyd, Inc. (Pretty Homes Youth Development) is 1611 Poole Rd, Raleigh, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Phyd, Inc. (Pretty Homes Youth Development) |
|---|---|
| Address | 1611 Poole Rd, Raleigh, North Carolina |
| Phone Number | 9197130035 |
| Fax Number | 9197130034 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Pretty Andrea |
| Telephone Number | 9196337800 |
NPI Number Detail
| NPI Number | 1003005240 |
|---|---|
| Provider Enumeration Date | 2007-10-23 |
| Last Updated Date | 2009-03-26 |
Provider Mailing Address Detail
| Address | 1611 Poole Rd |
|---|---|
| City | Raleigh |
| State | North Carolina (NC) |
| Post Code | 276102658 |
| Phone Number | 9197130035 |
| Fax Number | 9197130034 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | MHL-092-491 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6604280 | NC | -- | |
| 6603862 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Phyd, Inc. (Pretty Homes Youth Development) by the Centers for Medicare & Medicaid Services?
The Phyd, Inc. (Pretty Homes Youth Development) has been issued the NPI (National Provider Identifier) 1003005240, which 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 Phyd, Inc. (Pretty Homes Youth Development) is geographically located?
The Phyd, Inc. (Pretty Homes Youth Development) is physically situated at the following location: 1611 Poole Rd, Raleigh, NC, 276102658.
What is Phyd, Inc. (Pretty Homes Youth Development)'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Phyd, Inc. (Pretty Homes Youth Development)'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 Centers for Medicare & Medicaid Services issue the 1003005240 to Phyd, Inc. (Pretty Homes Youth Development)?
The Phyd, Inc. (Pretty Homes Youth Development) received its 1003005240 assignment from the Centers for Medicare & Medicaid Services on 2007-10-23.
As of what date were the Phyd, Inc. (Pretty Homes Youth Development)'s details last updated?
The information pertaining to the Phyd, Inc. (Pretty Homes Youth Development), including its address, specialty, and other details, was most recently updated on 2009-03-26.
NPI Number: 1356344279
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