Alternative Residential Youth Resources

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

MHL-041-670 Issued in NC

Legal business name

ALTERNATIVE RESIDENTIAL YOUTH RESOURCES

Practice address

2301 Stanley Rd
Greensboro, NC 27407-3913

Phone

(336) 392-0489

Fax

(336) 294-8432

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Samuel L Parrish, MSW QMHP

Title

Executive Director, Owner

Phone

(336) 392-0489

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Achievement Place Doing business as

Tax ID family

Alternative Residential Youth Resources2 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.

• Anchorage Place

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Greensboro, NC
  • NPI 1710145487
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Anchorage Place

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Greensboro, NC
  • NPI 1710145487
  NPPES parent name

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629117262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41013",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274041013",
            "telephone_number": "336-392-0489",
            "fax_number": "336-294-8432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 STANLEY RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274073913",
            "telephone_number": "336-392-0489",
            "fax_number": "336-294-8432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTERNATIVE RESIDENTIAL YOUTH RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARRISH",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR, OWNER",
        "authorized_official_telephone_number": "336-392-0489",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW QMHP"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-041-670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603498",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Achievement Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tracey Q Alston
• Steven Craig Altabet, PHD
• Alterman & Dhillon Piedmont, PLLC
• Alternative Behavioral Solutions,Inc.
• Alternative Home Care Solutions, Inc
• Henry Marvin Althisar Jr., PA-C
• Elsa Isabel Althof
• Robin Marie Alton, CRNA
• Alton'S Transport LLC
• Frank V Aluisio, MD

• All providers in Greensboro, NC
• 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 Aug 22, 2020; 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.