NPIMap

Organization Active NPI

Youth Development Corporation of America

Doing business as Georgia SAFE

  • Community/Behavioral Health Agency
  • Milledgeville, GA
National Provider Identifier
1659589265
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
YOUTH DEVELOPMENT CORPORATION OF AMERICA
Doing business as
Georgia SAFE
Practice address
105 Fieldstone Dr
Suite 4
Milledgeville, GA 31061-7107
Phone
(478) 451-0775
Fax
(478) 451-0734
NPI assigned
May 18, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sean Schreiber
Title
Development Director
Phone
(919) 323-8081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X GA Primary

Addresses

Primary practice location

105 Fieldstone Dr
Suite 4
Milledgeville, GA 31061-7107

Mailing address

6015 Fayetteville Rd
Suite 211
Durham, NC 27713-6254
Phone (919) 323-8081

Other names 1

  • Georgia SAFE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Caring Family Network17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

105 Fieldstone Dr
Ste 4
Milledgeville, GA 31061
Phone (478) 451-0775

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659589265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6015 FAYETTEVILLE RD",
            "address_2": "SUITE 211",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136254",
            "telephone_number": "919-323-8081",
            "fax_number": "919-572-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 FIELDSTONE DR",
            "address_2": "SUITE 4",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310617107",
            "telephone_number": "478-451-0775",
            "fax_number": "478-451-0734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH DEVELOPMENT CORPORATION OF AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHREIBER",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "DEVELOPMENT DIRECTOR",
        "authorized_official_telephone_number": "919-323-8081"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgia SAFE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milledgeville, GA

Sources for this page

  • 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.