Buffalo'S Concerned for Youth, Inc.

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

BUFFALO'S CONCERNED FOR YOUTH, INC.

Practice address

806 Foxmeade CT
Salisbury, NC 28144-8837

Phone

(704) 870-9584

NPI assigned

Jan 5, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Willie A Cornelius

Title

Owner

Phone

(704) 870-9584

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1639883564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 FORESTDALE DR",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442128",
            "telephone_number": "980-330-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 FOXMEADE CT",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281448837",
            "telephone_number": "704-870-9584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUFFALO'S CONCERNED FOR YOUTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "CORNELIUS",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-870-9584",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebow Bruce-Mensah, MS, RDN, LDN
• Morgan Elisabeth Bruce, DPT
• Timothy Brulet
• Brandon Craig Bryan, PSY.D.
• Terry Buckey
• Carolyn Eloise Buford, MSPT
• Dorothy V Bullins
• Andrea Shantz Bullock, L.P.C.
• Kathryn Bumbera
• Ashton Burdick, MA, NCC, LPCA

• Emotionally Disturbed Childrens' Residential Treatment Facility in Salisbury, NC
• Providers in Salisbury, NC by specialty
• 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 Jun 6, 2023; 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.