Center for Youth Excellence

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

CENTER FOR YOUTH EXCELLENCE

Practice address

1409 Kearny St NE
Washington, DC 20017-2957

Phone

(202) 412-4754

Fax

(202) 315-3746

NPI assigned

Sep 20, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Kofi Othiena Graham

Title

Operational Director

Phone

(202) 412-4754

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348099200000",
    "number": "1285985069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 KEARNY ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172957",
            "telephone_number": "202-412-4754",
            "fax_number": "202-315-3746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 KEARNY ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172957",
            "telephone_number": "202-412-4754",
            "fax_number": "202-315-3746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR YOUTH EXCELLENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-20",
        "last_updated": "2012-09-20",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "KOFI",
        "authorized_official_middle_name": "OTHIENA",
        "authorized_official_title_or_position": "OPERATIONAL DIRECTOR",
        "authorized_official_telephone_number": "202-412-4754",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emotionally Disturbed Childrens' Residential Treatment Facility in Washington, DC
• Providers in Washington, DC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.