Lancaster Youth Leadership & Development Program

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

LANCASTER YOUTH LEADERSHIP & DEVELOPMENT PROGRAM

Practice address

916 15TH Street
Lancaster, SC 29720

Phone

(803) 246-9009

NPI assigned

Oct 7, 2019

Organization subpart

No

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

Authorized official

Name

Cedric McMillan

Title

Program Director

Phone

(803) 246-9009

Specialties & licenses 1

Addresses

Other names 2

• LYLDP Other name
• Lancaster YLDP Other name

Electronic endpoints 1

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570406400000",
    "number": "1114568532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 C B REEVES RD",
            "city": "HEATH SPRINGS",
            "state": "SC",
            "postal_code": "290588906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 15TH STREET",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "29720",
            "telephone_number": "803-246-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCASTER YOUTH LEADERSHIP & DEVELOPMENT PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-07",
        "last_updated": "2019-10-07",
        "status": "A",
        "authorized_official_last_name": "MCMILLAN",
        "authorized_official_first_name": "CEDRIC",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "803-246-9009"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "lancasteryldp@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "916 15th Street",
            "city": "Lancaster",
            "state": "SC",
            "country_code": "US",
            "postal_code": "29720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "LYLDP",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Lancaster YLDP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Voluntary or Charitable Agency in Lancaster, SC
• Providers in Lancaster, SC by specialty
• Voluntary or Charitable Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.