Youth Care Center Inc

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

MHL-055-077 Issued in NC

Legal business name

YOUTH CARE CENTER INC

Practice address

1101 E Pine St
Lincolnton, NC 28092-3531

Phone

(704) 734-2969

Fax

(704) 732-9967

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Mr. David William Coulter

Title

Director Owner

Phone

(704) 732-9699

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336288612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1131",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280931131",
            "telephone_number": "704-732-9699",
            "fax_number": "704-732-9967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E PINE ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280923531",
            "telephone_number": "704-734-2969",
            "fax_number": "704-732-9967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COULTER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "DIRECTOR OWNER",
        "authorized_official_telephone_number": "704-732-9699",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-055-077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Killman Wright, CRNA
• Hannah Christine Yamouti, LCMHCA
• Jesse Graham Yarborough, MD
• Slade Young
• Victoria Kathryn Yount, MA, LCMHCA, NCC
• Stephen Yu, D.D.S.
• Lance Yuksel
• Natia Zabakhidze
• Chunyue Zhang, M.D.
• Matthew James Zuber, MD

• Emotionally Disturbed Childrens' Residential Treatment Facility in Lincolnton, NC
• Providers in Lincolnton, NC by specialty
• Emotionally Disturbed Childrens' 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.