Youth Development Corporation of America

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

YOUTH DEVELOPMENT CORPORATION OF AMERICA

Doing business as

Georgia SAFE

Practice address

4424 Columbia Rd
Ste B
Martinez, GA 30907-4565

Phone

(706) 210-3435

NPI assigned

Feb 9, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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) 323-8080

Specialties & licenses 1

Addresses

Other names 1

• Georgia SAFE Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert L Murray

  • Clinical Social Worker
  • Martinez, GA
  • NPI 1174659411
  NPD (past)
• Eva Watkins, RN

  • Registered Nurse
  • Martinez, GA
  • NPI 1205950615
  NPD (past)

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689715880",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4424 COLUMBIA RD",
            "address_2": "STE B",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309074565",
            "telephone_number": "706-210-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH DEVELOPMENT CORPORATION OF AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "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": "919-323-8080"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgia SAFE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Derrick York
• Alicia Yoshimoto, BCBA
• Trianne Young Bowen
• Your Aging Therapist LLC
• Your Me Time Massage, LLC
• Ling Yu
• Tania Zaldivar
• Stephanie Michelle Zimmerman, PA-C

• Community/Behavioral Health Agency in Martinez, GA
• Providers in Martinez, GA by specialty
• Community/Behavioral Health Agency in Georgia

• 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.