Akc Youth Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

AKC YOUTH SERVICES

Practice address

1205 Camden Rd
Wadesboro, NC 28170

Phone

(704) 994-9411

Fax

(704) 994-3588

NPI assigned

Aug 9, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Calvin Lee Taylor, BA,,QP

Title

Owner/Operator

Phone

(704) 994-9411

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186617600000",
    "number": "1316138795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W MORGAN ST",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "28170",
            "telephone_number": "704-994-9411",
            "fax_number": "704-994-3588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 CAMDEN RD",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "28170",
            "telephone_number": "704-994-9411",
            "fax_number": "704-994-3588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKC YOUTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2007-08-09",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "704-994-9411",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BA,,QP"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; 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.