Youth Profile, Inc. in Summerfield - Residential Treatment Facility, Emotionally Disturbed Children
Youth Profile, Inc. - NPI 1366505430
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 1366505430. 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 3366435508 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 | 3366435508 |
| 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 | 1366505430 |
|---|---|
| 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 | 3366435508 |
| Fax Number | 3366441423 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | MHL-041-205 |
|
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 10-digit identification code issued to Youth Profile, Inc. by the Centers for Medicare & Medicaid Services?
The Youth Profile, Inc. has been assigned the NPI (National Provider Identifier) 1366505430 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Youth Profile, Inc. is geographically located?
The Youth Profile, Inc. is physically situated at the following location: 5683 Greendale Ct, Summerfield, NC, 273589156.
What is the Youth Profile, Inc.'s area of specialization and corresponding taxonomy classification?
The Youth Profile, Inc.'s specialty field is Residential Treatment Facility, Emotionally Disturbed Children, and it falls under the taxonomy code 322D00000X, which categorizes healthcare providers based on their specialties.
On what date did Youth Profile, Inc. receive its 1366505430 assignment from the Centers for Medicare & Medicaid Services?
The Youth Profile, Inc. was assigned its 1366505430 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.