Youth and Family Residential Treatment Center Inc.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

MHL-019-035 Issued in NC

Legal business name

YOUTH AND FAMILY RESIDENTIAL TREATMENT CENTER INC.

Practice address

808 Cliftwood Dr
Siler City, NC 27344-2302

Phone

(919) 742-2626

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Barbra Bosey, LCSW, M.ED. PHD.

Title

Director

Phone

(910) 829-0443

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Barbara Bosey, LCSW, PH.D.

  • Social Worker
  • Fayetteville, NC
  • NPI 1972630002
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215077664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 BOONE TRL",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283062138",
            "telephone_number": "910-829-0443",
            "fax_number": "910-829-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 CLIFTWOOD DR",
            "city": "SILER CITY",
            "state": "NC",
            "postal_code": "273442302",
            "telephone_number": "919-742-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH AND FAMILY RESIDENTIAL TREATMENT CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOSEY",
        "authorized_official_first_name": "BARBRA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-829-0443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW, M.ED. PHD."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL-019-035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603797",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandria Woods, PT
• Candra K Wooten, M.D
• Catherine Kipp Wright, MSN, FNP-BC
• Kacey Wyman, MSW, LCSW-A
• Jane Young
• Youth Development Corporation of America
• Kathleen Marie Zale, LCSWA
• Mark J Zeringue, MD

• Mental Illness Community Based Residential Treatment Facility in Siler City, NC
• Providers in Siler City, 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 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.