Pro Youth Centers

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

565801695 Issued in CA

Legal business name

PRO YOUTH CENTERS

Practice address

1783 Temple Ave
Camarillo, CA 93010-3367

Phone

(805) 388-1035

Fax

(805) 388-1062

NPI assigned

Jul 17, 2016

Organization subpart

No

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

Authorized official

Name

Miki McRee

Title

Ceo/Founder

Phone

(818) 469-6029

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1468713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474934400000",
    "number": "1780037523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28816 CONEJO VIEW DR",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913013367",
            "telephone_number": "818-889-0091",
            "fax_number": "818-532-7919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1783 TEMPLE AVE",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930103367",
            "telephone_number": "805-388-1035",
            "fax_number": "805-388-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO YOUTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-17",
        "last_updated": "2016-09-27",
        "status": "A",
        "authorized_official_last_name": "MCREE",
        "authorized_official_first_name": "MIKI",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "818-469-6029"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "CA",
            "license": "565801695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaytlyn Cheyenne Preitauer
• Donna Priano-English
• Nancy Gabrielle Price-Hood, D.C.,D.A.B.C.O.
• Kristen Delene Price
• Primary Critical Care Limited Partnership
• Glenn Odonzo Propst
• Prosthetic & Orthotic Group of Ventura County , LLC
• Jocelyne Puentes
• Stephanie Pugh
• Jasmine Lukose Punnoose, FNP-BC

• Emotionally Disturbed Childrens' Residential Treatment Facility in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; 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.