Youth Builders, LLC

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

MHL-001-150 Issued in NC

Legal business name

YOUTH BUILDERS, LLC

Practice address

2423 Morningside Dr
Burlington, NC 27217-3147

Phone

(336) 261-5920

Fax

(919) 732-5515

NPI assigned

Jul 9, 2007

Organization subpart

No

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

Authorized official

Name

Mr. John Earl Hargrove

Title

Executive Director

Phone

(252) 767-8615

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1183939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1183939200000",
    "number": "1417155763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272780247",
            "telephone_number": "336-261-5920",
            "fax_number": "919-732-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2423 MORNINGSIDE DR",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272173147",
            "telephone_number": "336-261-5920",
            "fax_number": "919-732-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH BUILDERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-09",
        "last_updated": "2007-07-09",
        "status": "A",
        "authorized_official_last_name": "HARGROVE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "252-767-8615",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-001-150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellie Christine Yakubu
• Jered Yalung, PHARMD
• Chester Kossman Yarbrough, MD
• Ying Wang, DMD,PA
• Your Grace & Mercy FCH
• Youth Development Corporation of America
• Youth Haven Services, Inc.
• Youth Train Ventures
• Youth Train Ventures, Inc.
• Rupal Lakhani Yu, M.D.

• Emotionally Disturbed Childrens' Residential Treatment Facility in Burlington, NC
• Providers in Burlington, 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 Jul 9, 2007; 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.