Youth Villages

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

YOUTH VILLAGES

Practice address

363 Church St N
200
Concord, NC 28025-4589

Phone

(704) 262-1360

NPI assigned

Aug 14, 2015

Last updated

Aug 14, 2015By 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

Jasmine Luster

Title

MST Family Counselor

Phone

(704) 262-1360

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439510400000",
    "number": "1790151611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 CHURCH ST N",
            "address_2": "200",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 CHURCH ST N",
            "address_2": "200",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254589",
            "telephone_number": "704-262-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH VILLAGES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-14",
        "last_updated": "2015-08-14",
        "status": "A",
        "authorized_official_last_name": "LUSTER",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_title_or_position": "MST FAMILY COUNSELOR",
        "authorized_official_telephone_number": "704-262-1360"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Youth Adult Care Management
• Youth Adult Care Management
• Youth Adult Care Management, Inc
• Youth Empowerment Solutions, LLC
• Youth Solutions Home LLC
• Crystal Jing Yu, MD
• Hongxuyang Yu, MD
• Sherry F Yudell, M.D.
• Jessye Zahn, OTR/L
• Jean Zajdel

• Community/Behavioral Health Agency in Concord, NC
• Providers in Concord, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.

Verify at the official NPI Registry.