NPIMap

Organization Active NPI

Youth for Tomorrow New Life Center Inc

  • Community/Behavioral Health Agency
  • Bristow, VA
National Provider Identifier
1265775241
Registry record updated Mar 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1953-02-029 Issued in VA
Legal business name
YOUTH FOR TOMORROW NEW LIFE CENTER INC
Practice address
11835 Hazel Circle Dr
Bristow, VA 20136-2180
Phone
(703) 368-7995
Fax
(703) 361-4335
NPI assigned
Mar 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2013

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

Authorized official

Name
Dave Loop
Title
Chief Operating Officer
Phone
(703) 396-7234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1953-02-029 VA Primary

Addresses

Primary practice location

11835 Hazel Circle Dr
Bristow, VA 20136-2180

Mailing address

11835 Hazel Circle Dr
Bristow, VA 20136-2180
Phone (703) 368-7995

National Provider Directory

National Provider Directory
Tax ID family
Youth for Tomorrow New Life Center Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1364428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364428800000",
    "number": "1265775241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11835 HAZEL CIRCLE DR",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201362180",
            "telephone_number": "703-368-7995",
            "fax_number": "703-361-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11835 HAZEL CIRCLE DR",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201362180",
            "telephone_number": "703-368-7995",
            "fax_number": "703-361-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH FOR TOMORROW NEW LIFE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-28",
        "last_updated": "2013-03-28",
        "status": "A",
        "authorized_official_last_name": "LOOP",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "703-396-7234"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "1953-02-029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristow, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.