NPIMap

Organization Active NPI

Youth Opportunities, Inc.

  • Community/Behavioral Health Agency
  • Winston Salem, NC
National Provider Identifier
1205078748
Registry record updated Mar 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL-034-214 Issued in NC
Legal business name
YOUTH OPPORTUNITIES, INC.
Practice address
1401 W Clemmonsville Rd
Winston Salem, NC 27127-5915
Phone
(336) 724-1412
Fax
(336) 724-1464
NPI assigned
Mar 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2009

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

Authorized official

Name
Mr. Manuel Mariano Gomez Jr., M.A.
Title
Director of Finance & Business
Phone
(336) 724-1412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL-034-214 NC Primary

Addresses

Primary practice location

1401 W Clemmonsville Rd
Winston Salem, NC 27127-5915

Mailing address

206 N. Spruce St.
Suite 3
Winston Salem, NC 27101-2736
Phone (336) 724-1412

National Provider Directory

National Provider Directory
Tax ID family
Youth Opportunities Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1205078748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N. SPRUCE ST.",
            "address_2": "SUITE 3",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012736",
            "telephone_number": "336-724-1412",
            "fax_number": "336-724-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W CLEMMONSVILLE RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271275915",
            "telephone_number": "336-724-1412",
            "fax_number": "336-724-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH OPPORTUNITIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-30",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "MARIANO",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE & BUSINESS",
        "authorized_official_telephone_number": "336-724-1412",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-034-214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.