Youth Profile, Inc. in Summerfield - Residential Treatment Facility, Emotionally Disturbed Children
Youth Profile, Inc. - NPI 1184787269
Youth Profile, Inc. is a Residential Treatment Facility, Emotionally Disturbed Children in Summerfield, North Carolina. Youth Profile, Inc. practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Youth Profile, Inc. is 1184787269. The last update date is 2008-06-13.
Youth Profile, Inc.'s current location address is 5683 Greendale Ct, Summerfield, North Carolina. You can contact this provider via phone number 3367070377 and fax number 3366441423. The mailing address for Youth Profile, Inc. is 5683 Greendale Ct, Summerfield, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Youth Profile, Inc. |
|---|---|
| Address | 5683 Greendale Ct, Summerfield, North Carolina |
| Phone Number | 3367070377 |
| Fax Number | 3366441423 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ASSO. EXEC |
|---|---|
| Authorized Official Name | Mcbride Lee Alfred |
| Credentials | M.ED. |
| Telephone Number | 3367070377 |
NPI Number Detail
| NPI Number | 1184787269 |
|---|---|
| Provider Enumeration Date | 2006-12-19 |
| Last Updated Date | 2008-06-13 |
Provider Mailing Address Detail
| Address | 5683 Greendale Ct |
|---|---|
| City | Summerfield |
| State | North Carolina (NC) |
| Post Code | 273589156 |
| Phone Number | 3367070377 |
| Fax Number | 3366441423 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | MHL-041-637 |
|
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 Youth Profile, Inc.'s unique identification number?
The Youth Profile, Inc. has been assigned the NPI (National Provider Identifier) Number 1184787269 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Youth Profile, Inc. is physically located?
The Youth Profile, Inc. is physically situated at the following address: 5683 Greendale Ct, Summerfield, NC, 273589156.
What is Youth Profile, Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Youth Profile, Inc. is Residential Treatment Facility, Emotionally Disturbed Children, and the taxonomy code that classifies this field of practice is 322D00000X.
On what date did Youth Profile, Inc. receive its 1184787269 assignment from the Centers for Medicare & Medicaid Services?
The Youth Profile, Inc. was assigned its 1184787269 on 2006-12-19, 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 pertaining to Youth Profile, Inc. last refreshed?
The information related to the Youth Profile, Inc., including its address, specialty, and other relevant details, was last updated on 2008-06-13.