Acadiana Youth, Inc.

Primary specialty

Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X

License

2203781379 Issued in LA

Legal business name

ACADIANA YOUTH, INC.

Practice address

1000 E Willow St
Lafayette, LA 70501-3140

Phone

(337) 237-1320

Fax

(337) 237-0806

NPI assigned

May 17, 2012

Organization subpart

No

Name

Ms. Vicki Claire Boudreaux

Title

Executive Director

Phone

(337) 237-1320

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 19, 2013.

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366329600000",
    "number": "1487914925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 LEE AVE",
            "address_2": "SUITE 406",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705017959",
            "telephone_number": "337-237-1320",
            "fax_number": "337-237-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E WILLOW ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705013140",
            "telephone_number": "337-237-1320",
            "fax_number": "337-237-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIANA YOUTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-17",
        "last_updated": "2013-04-19",
        "status": "A",
        "authorized_official_last_name": "BOUDREAUX",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "CLAIRE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "337-237-1320",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "LA",
            "license": "2332",
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "LA",
            "license": "4986",
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "LA",
            "license": "2203781379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; 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.