Youth Unlimited Inc
Organization Active NPI Mental Illness Community Based Residential Treatment Facility · Sophia, NC
NPI 1629416003 · NPPES record last updated Apr 30, 2019
Key facts
- NPI
- 1629416003
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Illness Community Based Residential Treatment Facility 320800000X
- Legal business name
- YOUTH UNLIMITED INC
- Practice address
- 2872 Youth Unlimited Dr
Sophia, NC 27350-8460 - Phone
- (336) 861-1413
- Fax
- (336) 861-9253
- NPI assigned
- Jun 7, 2013
- Organization subpart
- No
Authorized official
- Name
- Mr. R Clifford Parker Jr., M.A. LPC
- Title
- Ex Director
- Phone
- (336) 883-1361
Corporate family (same tax ID) 4
National Provider Directory
- Tax ID family
- Youth Unlimited Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Yes |
Addresses
Primary practice location
2872 Youth Unlimited Dr
Sophia, NC 27350-8460
Mailing address
PO Box 485
High Point, NC 27261-0485
Phone (336) 883-1361
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6603220 | Medicaid | NC |
Other providers in Sophia, NC
All providers in Sophia, NC · Mental Illness Community Based Residential Treatment Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.