Youth Adult Care Management in Concord - Residential Treatment Facility, Emotionally Disturbed Children

Youth Adult Care Management - NPI 1215061007

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 1215061007. 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 1215061007
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-080-121
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
015WC NC BCBS
6603205 NC --

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FAQs about Youth Adult Care Management

What is the unique identifier code issued to Youth Adult Care Management by the Centers for Medicare & Medicaid Services?

The Youth Adult Care Management has been assigned the NPI (National Provider Identifier) 1215061007. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Youth Adult Care Management?

The Youth Adult Care Management is situated at Po Box 1013, in the city of Concord, state of NC, with the zip code 280261013.

What is Youth Adult Care Management's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Youth Adult Care Management'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.

When did Youth Adult Care Management receive its 1215061007 assignment?

The Youth Adult Care Management was assigned its 1215061007 on 2007-03-15, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding Youth Adult Care Management, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Youth Adult Care Management, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-08-01.

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