Centered on Youth

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

CENTERED ON YOUTH

Practice address

3210 Oliver Ave N
Minneapolis, MN 55412-2316

Phone

(612) 353-5983

Fax

(612) 345-5174

NPI assigned

Jul 29, 2019

Organization subpart

Yes

Parent organization

CENTERED ON YOUTHAs reported in NPPES

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

Authorized official

Name

John Senar, PH.D

Title

Administrator/Director

Phone

(612) 353-5983

Specialties & licenses 1

Addresses

Other names 1

• Centered On Youth Treatment Clinic Doing business as

Electronic endpoints 2

Part of

Centered on Youth

Locations

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574640000000",
    "number": "1366096307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 OLIVER AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554122316",
            "telephone_number": "612-353-5983",
            "fax_number": "612-345-5174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 OLIVER AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554122316",
            "telephone_number": "612-353-5983",
            "fax_number": "612-345-5174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3210 Oliver Ave N Fl 2",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554122316",
            "country_code": "US",
            "telephone_number": "612-353-5983",
            "fax_number": "612-345-5174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTERED ON YOUTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTERED ON YOUTH",
        "enumeration_date": "2019-07-29",
        "last_updated": "2019-11-25",
        "status": "A",
        "authorized_official_last_name": "SENAR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ADMINISTRATOR/DIRECTOR",
        "authorized_official_telephone_number": "612-353-5983",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Minneapolis",
            "affiliation": "N",
            "endpointDescription": "HIE",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3210 Oliver Ave N",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554122316",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Minneapolis",
            "affiliation": "N",
            "endpointDescription": "HIE",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3210 Oliver Ave N Fl 2",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554122316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Centered On Youth Treatment Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Center for Psychological Growth and Resilience
• Center for Reproductive Medicine PA
• Center for Somali Solutions & Unity
• Center for Womens Empowerment
• Center One Apartments LLC
• Central Avenue Spine & Rehab, Inc
• Central Care Pharmacy LLC
• Central Care Services Inc
• Central Health Services
• Centre for African Immigrants Recovering From Drug and Alcohol Addicti

• Substance Use Disorder Rehabilitation Clinic/Center in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.