Active NPI
Youth and Family Intervention LLC
- Case Management Agency
- Elizabeth City, NC
National Provider Identifier
1407084924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.