YOUTH DEVELOPMENT CORPORATION OF AMERICA (NPI# 1700094414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700094414 |
| Entity Type | Organization |
| Organization Name | YOUTH DEVELOPMENT CORPORATION OF AMERICA |
| Other Organization Name | GEORGIA SAFE |
| Practice Address |
2801 Old Dawson Rd Suite 200 Albany GA 31707-1544 |
| Mailing Address |
6015 Fayetteville Rd Suite 211 Durham NC 27713-6254 |
| Practice Telephone | 2298898884 |
| Practice Fax Number | 2298898875 |
| Mailing Telephone | 9193238081 |
| Mailing Fax Number | 9195720004 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SEAN SCHREIBER (DEVELOPMENT DIRECTOR) |
| Authorized Official Telephone | 9193238081 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | GA | Agencies |
| Other Name | Type Code |
|---|---|
| Georgia SAFE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962610576 | Youth Development Corporation of America | Community/Behavioral Health | 335 Margie Dr, Warner Robins, GA 31088-7896 | 2007-05-18 |
| 1659589265 | Youth Development Corporation of America | Community/Behavioral Health | 105 Fieldstone Dr, Suite 4, Milledgeville, GA 31061-7107 | 2007-05-18 |
| 1801938626 | Youth Development Corporation of America | Community/Behavioral Health | 9556 Tara Blvd, Jonesboro, GA 30236-6037 | 2007-02-12 |
| 1457492266 | Youth Development Corporation of America | Community/Behavioral Health | 414 Caldwell Ext, Chapel Hill, NC 27516-2051 | 2007-02-12 |
| 1235270026 | Youth Development Corporation of America | Community/Behavioral Health | 1105 E Cardinal St, Siler City, NC 27344-3300 | 2007-02-12 |
| 1689715880 | Youth Development Corporation of America | Community/Behavioral Health | 4424 Columbia Rd, Ste B, Martinez, GA 30907-4565 | 2007-02-09 |
| 1629023569 | Youth Development Corporation of America | Community/Behavioral Health | 803 S Garnett St, Henderson, NC 27536-4512 | 2006-05-22 |
| 1952518110 | Youth Development Corporation of America | Community/Behavioral Health | 4000 Blue Ridge Rd, Suite 200, Raleigh, NC 27612-4650 | 2007-05-17 |
| 1700928090 | Youth Development Corporation of America | Community/Behavioral Health | 412 Caldwell Ext Ste A, Chapel Hill, NC 27516-2065 | 2007-02-13 |
| 1154463446 | Youth Development Corporation of America | Foster Care Agency | 6050 Six Forks Rd, Raleigh, NC 27609-8601 | 2007-02-13 |
| Street Address |
2801 OLD DAWSON RD SUITE 200 |
| City | ALBANY |
| State | GA |
| Zip Code | 31707-1544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396394011 | Barbara Cannon | Technician | 2025 Gail Avenue, Albany, GA 31707 | 2019-09-05 |
| 1669941035 | Wallace Coleman | Counselor | 2403 Osler Court, Suite B, Albany, GA 31707 | 2018-11-15 |
| 1992293955 | Tiffany Timmerman | Massage Therapist | Albany Therapeutic Massage Clinic, 1534 Dawson, Rd, Albany, GA 31707 | 2018-04-25 |
| 1225550957 | Christopher George Solomon | Nurse Practitioner | 2336 Dawson Rd., Urgent Care Center At Phoebe Northwest, Albany, GA 31707 | 2017-07-14 |
| 1689107229 | Teemercare @ Home LLC | Home Health | 1129 Dawson Rd Ste A, Albany, GA 31707 | 2017-04-11 |
| 1205373917 | Nicarro Henderson | Specialist | 2005 E Dawson Rd, Albany, GA 31707 | 2017-01-20 |
| 1235567918 | Restoration of The Minds LLC | Community/Behavioral Health | 1408 Edgerly Avenue, Albany, GA 31707 | 2013-10-16 |
| 1588091334 | Marsha Danell Glover | Pediatrics | 517 N. Westover Blvd., Albany, GA 31707 | 2013-10-10 |
| 1003253139 | Bailey Healthcare Inc | Community/Behavioral Health | 2416 Suite B Westgate Dr, Albany, GA 31707 | 2013-05-30 |
| 1346685666 | Albany Urology Surgery Center LLC | Clinic/Center | 2400 Osler Court, Albany, GA 31707 | 2013-04-30 |
| Find all providers in zip 31707 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750841599 | Kimberly Lashaun Anthony | Community/Behavioral Health | 1517 Lily Pond Rd, Albany, GA 31701-7771 | 2019-03-20 |
| 1285101113 | Chasity S Wright | Community/Behavioral Health | 10151 N Reynard Rd, Albany, IN 47320-9107 | 2018-10-29 |
| 1356821375 | Behaviorway, Inc. | Community/Behavioral Health | 805 Kinkead Way Apt 101, Albany, CA 94706-2636 | 2018-08-20 |
| 1770012288 | Mental Health Association In New York State, Inc. | Community/Behavioral Health | 194 Washington Ave Ste 415, Albany, NY 12210-2314 | 2017-06-08 |
| 1225413610 | Mental Health Empowerment Project, Inc. | Community/Behavioral Health | 3 Atrium Dr Ste 205, Albany, NY 12205-1483 | 2015-07-27 |
| 1154700896 | Burroughs & Jones Counseling and Consulting, LLC | Community/Behavioral Health | 1216 Dawson Rd Ste 110, Burroughs & Jones Counseling and Consulting, LLC, Albany, GA 31707-3800 | 2015-05-27 |
| 1861899759 | Ivy Houses | Community/Behavioral Health | 627 W Highland Ave, Albany, GA 31701-2757 | 2014-11-21 |
| 1548670664 | Holistic Health Systems Inc | Community/Behavioral Health | 345 W Broad Ave Ste 105, Albany, GA 31701-2673 | 2014-04-28 |
| 1548682677 | Doing Good Again LLC | Community/Behavioral Health | 2423 W Alberson Dr, Albany, GA 31721-2025 | 2014-01-08 |
| 1235567918 | Restoration of The Minds LLC | Community/Behavioral Health | 1408 Edgerly Avenue, Albany, GA 31707 | 2013-10-16 |
| Find all providers in ALBANY | ||||
Please comment or provide details below to improve the information on YOUTH DEVELOPMENT CORPORATION OF AMERICA.
| 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.