Twin Cedars Youth Services, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

TWIN CEDARS YOUTH SERVICES, INC

Practice address

1022 E Depot St
Lagrange, GA 30241-3412

Phone

(706) 884-1717

Fax

(706) 884-8321

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Michael J. Angstadt

Title

Executive Director

Phone

(706) 298-0050

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1215064332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N LEWIS ST",
            "address_2": "P.O. BOX 1526",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302402740",
            "telephone_number": "706-298-0050",
            "fax_number": "706-298-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 E DEPOT ST",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302413412",
            "telephone_number": "706-884-1717",
            "fax_number": "706-884-8321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN CEDARS YOUTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "ANGSTADT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "706-298-0050",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": null,
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriane Tucker
• Kaitlin Tucker, DPT
• Clifford J Tumambing, MD
• Lacy R Tumambing, MD
• Crystal Dawn Turner, LPN
• James A Tyrer III, D.M.D
• Urgencare, LLC
• Amir Usman, MD
• Juan Francisco Vasquez Mendez, MD
• Sophia Vaughn

• Community/Behavioral Health Agency in Lagrange, GA
• Providers in Lagrange, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.