NPIMap

Organization Active NPI

Department of Youth Services

  • Mental Illness Community Based Residential Treatment Facility
  • Mount Meigs, AL
National Provider Identifier
1174958730
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
DEPARTMENT OF YOUTH SERVICES
Practice address
1000 Industrial School Road
Mount Meigs, AL 36057-0066
Phone
(334) 215-3822
Fax
(334) 215-3011
NPI assigned
Sep 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

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

Authorized official

Name
Mr. Chris B Narcisse
Title
Federal Programs Coordinator
Phone
(334) 215-3822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

1000 Industrial School Road
Mount Meigs, AL 36057-0066

Mailing address

PO Box 66
Mount Meigs, AL 36057-0066
Phone (334) 215-3822

National Provider Directory

National Provider Directory
Tax ID family
Samual Gaskins MD45 organizations share this tax ID, including this one

Other organizations with this tax ID 44

Organizations that report the same tax identification number in the National Provider Directory.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1174958730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66",
            "city": "MOUNT MEIGS",
            "state": "AL",
            "postal_code": "360570066",
            "telephone_number": "334-215-3822",
            "fax_number": "334-215-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 INDUSTRIAL SCHOOL ROAD",
            "city": "MOUNT MEIGS",
            "state": "AL",
            "postal_code": "360570066",
            "telephone_number": "334-215-3822",
            "fax_number": "334-215-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF YOUTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-13",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "NARCISSE",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "FEDERAL PROGRAMS COORDINATOR",
        "authorized_official_telephone_number": "334-215-3822",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Meigs, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; 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.