Destin Youth & Transitional Care Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

DESTIN YOUTH & TRANSITIONAL CARE INC.

Practice address

5819 Candlelight LN
Grand Prairie, TX 75052-8591

Phone

(817) 723-9676

NPI assigned

Oct 9, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Donna Rena Thompson-Cooper

Title

Director

Phone

(817) 723-9676

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255046400000",
    "number": "1124353032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5819 CANDLELIGHT LN",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528591",
            "telephone_number": "817-723-9676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5819 CANDLELIGHT LN",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528591",
            "telephone_number": "817-723-9676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTIN YOUTH & TRANSITIONAL CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-09",
        "last_updated": "2009-10-09",
        "status": "A",
        "authorized_official_last_name": "THOMPSON-COOPER",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "RENA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "817-723-9676",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Developmentally Disabled Services Day Training Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.