NPIMap

Organization Active NPI

Center for Youth Development, LLC

  • Community/Behavioral Health Agency
  • Durham, NC
National Provider Identifier
1457675308
Registry record updated Mar 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL-032-447 Issued in NC
Legal business name
CENTER FOR YOUTH DEVELOPMENT, LLC
Practice address
2515 NC Hwy 55
Suite a & D
Durham, NC 27713-1374
Phone
(919) 598-1515
Fax
(919) 598-9725
NPI assigned
Mar 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2010

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

Authorized official

Name
Angela Maria Toole-Anthony
Title
Co-Owner
Phone
(919) 598-1515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL-032-447 NC Primary

Addresses

Primary practice location

2515 NC Hwy 55
Suite a & D
Durham, NC 27713-1374

Mailing address

6409 Fayetteville Rd # 120-368
Durham, NC 27713-6297
Phone (919) 598-1515

National Provider Directory

National Provider Directory
Tax ID family
Center for Youth Development LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269216000000",
    "number": "1457675308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6409 FAYETTEVILLE RD # 120-368",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136297",
            "telephone_number": "919-598-1515",
            "fax_number": "919-598-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 NC HWY 55",
            "address_2": "SUITE A & D",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277131374",
            "telephone_number": "919-598-1515",
            "fax_number": "919-598-9725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR YOUTH DEVELOPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-22",
        "last_updated": "2010-03-22",
        "status": "A",
        "authorized_official_last_name": "TOOLE-ANTHONY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "919-598-1515"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-032-447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; 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.