Youth Solutions Network LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

YOUTH SOLUTIONS NETWORK LLC

Practice address

1801 N Tryon St
Suite #204
Charlotte, NC 28206-2704

Phone

(980) 337-9125

NPI assigned

May 22, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Vincent Tate

Title

Chief Executive Officer

Phone

(980) 337-9125

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1463875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466208000000",
    "number": "1629425434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N TRYON ST",
            "address_2": "SUITE #204",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282062704",
            "telephone_number": "980-337-9125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N TRYON ST",
            "address_2": "SUITE #204",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282062704",
            "telephone_number": "980-337-9125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH SOLUTIONS NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-22",
        "last_updated": "2016-06-18",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "980-337-9125",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16294254",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Safia Yousuff, M.D.
• Youth and Family Continuum of Care, Inc.
• Youth Homes, Inc
• Youth Homes, Inc.
• Youth Homes, Inc.
• Youth Style Fitness Inc
• Youth Transitional Services, Inc.
• Malika Yovell
• Elizabeth Yow
• Kylee Jo Yturralde, MD

• Community/Behavioral Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2016; 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.