YOUTH UNLIMITED INC (NPI# 1588002703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588002703 |
Entity Type | Organization |
Organization Name | YOUTH UNLIMITED INC |
Practice Address |
2780 Youth Unlimited Dr Sophia NC 27350-8461 |
Mailing Address |
Po Box 485 High Point NC 27261-0485 |
Practice Telephone | 3368617356 |
Mailing Telephone | 3368831361 |
Enumeration Date | 2013-06-10 |
Last Update Date | 2013-06-10 |
Authorized Official Name | MR. RC CLIFFORD PARKER JR. (EX DIRECTOR) |
Authorized Official Telephone | 3368831361 |
Authorized Official Credential | M.A. LPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 076-065 | NC | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 6603468 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487092607 | Youth Unlimited Inc | Community Based Residential Treatment Facility, Mental Illness | 2748 Youth Unlimited Dr, Sophia, NC 27350-8461 | 2013-06-10 |
1447698659 | Youth Unlimited Inc | Community/Behavioral Health | 2869 Youth Unlimited Dr, Sophia, NC 27350-8460 | 2013-06-10 |
1073951281 | Youth Unlimited Inc | Counselor | 2962 Youth Unlimited Dr, Sophia, NC 27350-8481 | 2013-06-10 |
1629416003 | Youth Unlimited Inc | Community Based Residential Treatment Facility, Mental Illness | 2872 Youth Unlimited Dr, Sophia, NC 27350-8460 | 2013-06-07 |
1407901689 | Youth Unlimited Inc | Community Based Residential Treatment Facility, Mental Illness | 338 Burton Ave, High Point, NC 27262-8070 | 2007-01-25 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | YOUTH UNLIMITED INC. | 121 E Historic Columbia River Hwy, Troutdale, OR 97060 |
Street Address |
2780 YOUTH UNLIMITED DR |
City | SOPHIA |
State | NC |
Zip Code | 27350-8461 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801084108 | Debra Lanier Tatum | Counselor | 6658 Flint Hill Rd, Sophia, NC 27350-8120 | 2007-10-11 |
1144827585 | Catherine B Sullivan | Registered Nurse | 4111 Beeson Farm Rd, Sophia, NC 27350-8451 | 2020-10-08 |
1447698659 | Youth Unlimited Inc | Community/Behavioral Health | 2869 Youth Unlimited Dr, Sophia, NC 27350-8460 | 2013-06-10 |
1457372088 | Melanie Coble Paschal | Social Worker | 2872 Youth Unlimited Dr, Sophia, NC 27350-8460 | 2006-07-21 |
1629416003 | Youth Unlimited Inc | Community Based Residential Treatment Facility, Mental Illness | 2872 Youth Unlimited Dr, Sophia, NC 27350-8460 | 2013-06-07 |
1487092607 | Youth Unlimited Inc | Community Based Residential Treatment Facility, Mental Illness | 2748 Youth Unlimited Dr, Sophia, NC 27350-8461 | 2013-06-10 |
1336473479 | Jane Elizabeth Hoonhout | Nurse Practitioner | 2962 Youth Unlimited Dr, Sophia, NC 27350-8481 | 2009-09-22 |
1336543776 | Keisha Mccleese Moore | Counselor | 2962 Youth Unlimited Dr, Sophia, NC 27350-8481 | 2014-10-14 |
1073951281 | Youth Unlimited Inc | Counselor | 2962 Youth Unlimited Dr, Sophia, NC 27350-8481 | 2013-06-10 |
1124383054 | Robert Andrew Lindsay Jr. | Social Worker | 2962 Youth Unlimited Dr, Sophia, NC 27350-8481 | 2012-07-06 |
Find all providers in zip 27350 |
Taxonomy Code | 322D00000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Emotionally Disturbed Children |
A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023617255 | Creative Helping Hands LLC | Residential Treatment Facility, Emotionally Disturbed Children | 478 Green Lake Rd, Rockingham, NC 28379-7850 | 2020-10-19 |
1083237986 | Revive Housing LLC | Residential Treatment Facility, Emotionally Disturbed Children | 210 Sunset Dr Apt 615, Salisbury, NC 28147-7147 | 2020-05-26 |
1457998627 | Re Health Group | Residential Treatment Facility, Emotionally Disturbed Children | 1102 Groves St, Kings Mountain, NC 28086-2232 | 2019-12-05 |
1821631532 | Marquita Latrice Walls | Residential Treatment Facility, Emotionally Disturbed Children | 1565 Longbranch Rd, Grover, NC 28073-9599 | 2019-10-25 |
1699233866 | A Brighter Path LLC | Residential Treatment Facility, Emotionally Disturbed Children | 120 Jetter Rd, Grover, NC 28073-9687 | 2019-03-06 |
1821562224 | Carter Clinic, Pa | Residential Treatment Facility, Emotionally Disturbed Children | 703 W 3rd Ave Bldg A, Red Springs, NC 28377-1524 | 2019-01-18 |
1659842607 | Gervonia Robinson | Residential Treatment Facility, Emotionally Disturbed Children | 1714 Aster Ln, Gastonia, NC 28054-8303 | 2018-12-16 |
1679058440 | Miracle Houses Inc | Residential Treatment Facility, Emotionally Disturbed Children | 7827 Kerrybrook Cir, Charlotte, NC 28214-2513 | 2018-09-27 |
1174048078 | A Safe Place Community Housing, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 2049 Highland St, Charlotte, NC 28208-4909 | 2017-08-11 |
1104346881 | Inspiration for Us | Residential Treatment Facility, Emotionally Disturbed Children | 1205 W Mountain St, Kernersville, NC 27284-2173 | 2017-06-22 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.