Active NPI
Creative Youth Concepts Inc.
- Community/Behavioral Health Agency
- Richmond, VA
National Provider Identifier
1760655310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CREATIVE YOUTH CONCEPTS INC.
- Practice address
- 2007 Brook Rd
Richmond, VA 23220-1807 - Phone
- (804) 525-4101
- Fax
- (804) 525-4102
- NPI assigned
- Apr 3, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Quo Vadis D Ford
- Title
- President
- Phone
- (804) 525-4101
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
2007 Brook Rd
Richmond, VA 23220-1807
Mailing address
2007 Brook Rd
Richmond, VA 23220-1807
Phone (804) 525-4101
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1428883200000",
"number": "1760655310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2007 BROOK RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232201807",
"telephone_number": "804-525-4101",
"fax_number": "804-525-4102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2007 BROOK RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232201807",
"telephone_number": "804-525-4101",
"fax_number": "804-525-4102"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CREATIVE YOUTH CONCEPTS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-03",
"last_updated": "2015-04-13",
"status": "A",
"authorized_official_last_name": "FORD",
"authorized_official_first_name": "QUO VADIS",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "804-525-4101"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.