The Youth Success Network - Communilink and Mho

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

64669006 Issued in NJ

Legal business name

THE YOUTH SUCCESS NETWORK - COMMUNILINK AND MHO

Practice address

16 W Main St
Floor 2
Freehold, NJ 07728-2210

Phone

(888) 897-6465

Fax

(877) 438-8976

NPI assigned

Apr 24, 2009

Organization subpart

Yes

Parent organization

THE YOUTH SUCCESS NETWORKAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. M Wellesley Gray

Title

Executive Director

Phone

(888) 897-6465

Specialties & licenses 2

Addresses

Part of

The Youth Success Network LLC

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240531200000",
    "number": "1114161825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 WEST MAIN ST",
            "address_2": "FLOOR 2",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "07728",
            "telephone_number": "888-897-6465",
            "fax_number": "877-438-8976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 W MAIN ST",
            "address_2": "FLOOR 2",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282210",
            "telephone_number": "888-897-6465",
            "fax_number": "877-438-8976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE YOUTH SUCCESS NETWORK - COMMUNILINK AND MHO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE YOUTH SUCCESS NETWORK",
        "enumeration_date": "2009-04-24",
        "last_updated": "2009-04-24",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "M",
        "authorized_official_middle_name": "WELLESLEY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "888-897-6465",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "64669006",
            "primary": true
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "NJ",
            "license": "PENDING",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.