YOUTH UNLIMITED INC


Address: 2780 Youth Unlimited Dr, Sophia, NC 27350-8461
Phone: 3368617356

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children 076-065 NC Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NC 6603468 05

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names YOUTH UNLIMITED INC. 121 E Historic Columbia River Hwy, Troutdale, OR 97060

Office Location

Street Address 2780 YOUTH UNLIMITED DR
City SOPHIA
State NC
Zip Code 27350-8461

Providers in the same zip code

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 Information

Taxonomy Code 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

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.

Providers in the same taxonomy and state

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
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Competitor

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City SOPHIA
Zip Code 27350

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Dataset Information

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.

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