United Youth Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

5065 Issued in SC

Legal business name

UNITED YOUTH SERVICES

Practice address

452 Lakeshore Pkwy
Suite 130
Rock Hill, SC 29730-4291

Phone

(704) 287-2081

NPI assigned

Jun 30, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Derrick Whisel

Title

President

Phone

(704) 287-2081

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1699086009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 FALLS LAKE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282701126",
            "telephone_number": "704-287-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 LAKESHORE PKWY",
            "address_2": "SUITE 130",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297304291",
            "telephone_number": "704-287-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED YOUTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-30",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "WHISEL",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-287-2081",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": "5065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Community/Behavioral Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.