Organization Active NPI

Strong Foundation Youth Intervention Services LLC

  • Case Management Agency
  • Durham, NC
National Provider Identifier
1629211966
Registry record updated Apr 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
STRONG FOUNDATION YOUTH INTERVENTION SERVICES LLC
Practice address
908 Fayetteville St
Suite 203
Durham, NC 27701-3982
Phone
(919) 239-0396
NPI assigned
Apr 16, 2009
Last updated
Apr 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2009

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

Authorized official

Name
Mr. Dietrix Urquhart
Title
Manager
Phone
(919) 239-0396

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

908 Fayetteville St
Suite 203
Durham, NC 27701-3982

Mailing address

908 Fayetteville St
Suite 203
Durham, NC 27701-3982
Phone (919) 239-0396

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239840000000",
    "number": "1629211966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 FAYETTEVILLE ST",
            "address_2": "SUITE 203",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013982",
            "telephone_number": "919-239-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 FAYETTEVILLE ST",
            "address_2": "SUITE 203",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013982",
            "telephone_number": "919-239-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRONG FOUNDATION YOUTH INTERVENTION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-16",
        "last_updated": "2009-04-16",
        "status": "A",
        "authorized_official_last_name": "URQUHART",
        "authorized_official_first_name": "DIETRIX",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "919-239-0396",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "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 Apr 16, 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.

Verify at the official NPI Registry.