Youth Mentoring and at Risk Intervention Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1403129 Issued in OH

Legal business name

YOUTH MENTORING AND AT RISK INTERVENTION INC

Practice address

2092 Washington Dr
Richmond Heights, OH 44143-1357

Phone

(216) 324-2451

NPI assigned

Apr 24, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Willie L GaryNPI 1073336152

Title

Ceo/Executive Director

Phone

(216) 324-2451

Specialties & licenses 1

Addresses

Practitioners 1

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

• Willie Gary

  • Case Manager/Care Coordinator
  • Warrensville Heights, OH
  • NPI 1073336152
  NPD (past) Authorized official

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1215371885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2092 WASHINGTON DR",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "441431357",
            "telephone_number": "216-324-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2092 WASHINGTON DR",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "441431357",
            "telephone_number": "216-324-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH MENTORING AND AT RISK INTERVENTION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-24",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "GARY",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "216-324-2451",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "1403129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter Woodruff, DO
• Marie Antonette Wright-Cozart
• Carla Wynne, RN
• Justin Yoon
• Youniverse Care Transportation LLC
• Azadeh Zangeneh, DO
• Feng Yang Zhao, D.O.

• Community/Behavioral Health Agency in Richmond Heights, OH
• Providers in Richmond Heights, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.