Promising Youth & Adults Behavioral Healthcare, Inc

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

PROMISING YOUTH & ADULTS BEHAVIORAL HEALTHCARE, INC

Practice address

2750 E WT Harris Blvd Ste 105
Charlotte, NC 28213-4286

Phone

(704) 509-0009

Fax

(704) 494-3555

NPI assigned

May 10, 2012

Organization subpart

No

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

Authorized official

Name

Shaunta Bethea

Title

Ceo

Phone

(704) 258-7051

Specialties & licenses 1

Addresses

Other names 1

• Promising Youth, Inc Other name

Locations

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1194084194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 E WT HARRIS BLVD STE 105",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282134286",
            "telephone_number": "704-509-0009",
            "fax_number": "704-494-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 E WT HARRIS BLVD STE 105",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282134286",
            "telephone_number": "704-509-0009",
            "fax_number": "704-494-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMISING YOUTH & ADULTS BEHAVIORAL HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-10",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "BETHEA",
        "authorized_official_first_name": "SHAUNTA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-258-7051"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Promising Youth, Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Mental Illness Community Based Residential Treatment Facility in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Illness Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; 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.