Youth Focus
Organization Active NPI Emotionally Disturbed Childrens' Residential Treatment Facility · Browns Summit, NC
NPI 1386780955 · NPPES record last updated Mar 11, 2019
Key facts
- NPI
- 1386780955
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X
- License
- MHL 041- 631 (NC)
- Legal business name
- YOUTH FOCUS
- Practice address
- 719 Gilchrist Rd
Browns Summit, NC 27214-9623 - Phone
- (336) 358-2151
- NPI assigned
- Jan 30, 2007
- Organization subpart
- No
Authorized official
- Name
- Jennifer Lewis
- Title
- Executive Director
- Phone
- (336) 274-5909
Corporate family (same tax ID) 18
National Provider Directory
- Tax ID family
- Youth Focus
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | MHL 041- 631 | NC | Yes |
Addresses
Primary practice location
719 Gilchrist Rd
Browns Summit, NC 27214-9623
Mailing address
405 Parkway Ste a
Greensboro, NC 27401-1693
Phone (336) 274-5909
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6603152 | Medicaid | NC |
Other providers in Browns Summit, NC
- Crystal Dawn Williamson
- Without Borders Collective PLLC
- Jazmon Womack
- Ashley Woods
- Lee Melvin Woodson Jr.
- Glen Zelenak
All providers in Browns Summit, NC · Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.