Organization Active NPI

Youth and Family Intervention LLC

  • Case Management Agency
  • Elizabeth City, NC
National Provider Identifier
1407084924
Registry record updated Jun 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
YOUTH AND FAMILY INTERVENTION LLC
Practice address
905 Halstead Blvd
Suite # 5 - 6
Elizabeth City, NC 27909-6986
Phone
(252) 337-9960
Fax
(252) 337-9963
NPI assigned
Jun 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2009

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

Authorized official

Name
Mr. Allan Bernard Harris Sr., MED/ EDS
Title
Co- Owner
Phone
(252) 337-9960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

905 Halstead Blvd
Suite # 5 - 6
Elizabeth City, NC 27909-6986

Mailing address

905 Halstead Blvd
Suite # 5 - 6
Elizabeth City, NC 27909-6986
Phone (252) 337-9960

National Provider Directory

National Provider Directory

Locations

905 Halstead Blvd
Ste 5
Elizabeth City, NC 27909
Phone (252) 334-1560

NPI Registry JSON

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245715200000",
    "number": "1407084924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 HALSTEAD BLVD",
            "address_2": "SUITE # 5 - 6",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279096986",
            "telephone_number": "252-337-9960",
            "fax_number": "252-337-9963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 HALSTEAD BLVD",
            "address_2": "SUITE # 5 - 6",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279096986",
            "telephone_number": "252-337-9960",
            "fax_number": "252-337-9963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH AND FAMILY INTERVENTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-23",
        "last_updated": "2009-06-23",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "CO- OWNER",
        "authorized_official_telephone_number": "252-337-9960",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MED/ EDS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; 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.