Youth Empowerment Zone LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

YOUTH EMPOWERMENT ZONE LLC

Practice address

1601 N 2ND St
Suite B
Millville, NJ 08332-1924

Phone

(856) 776-2200

Fax

(856) 776-2209

NPI assigned

Dec 22, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Peggy Ann Holmes, RN

Title

President

Phone

(856) 776-2200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154486900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 N 2ND ST",
            "address_2": "SUITE B",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083321924",
            "telephone_number": "856-776-2200",
            "fax_number": "856-776-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N 2ND ST",
            "address_2": "SUITE B",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083321924",
            "telephone_number": "856-776-2200",
            "fax_number": "856-776-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH EMPOWERMENT ZONE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-776-2200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Braylin Woolson, RBT
• Casey Nicole Worlock
• Meghan Marie Yamamoto, PHARMD
• Michael P. Yoong, MD
• You'Re Worthy
• Matthew Zemski, PT
• Nicole Christina Zucconi, D.O.

• Community/Behavioral Health Agency in Millville, NJ
• Providers in Millville, 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 Aug 22, 2020; 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.