Active NPI
Youngstown Urban Minority Alcoholism and Drug Abuse Outreach Prog Inc
- Community/Behavioral Health Agency
- Youngstown, OH
National Provider Identifier
1790830172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- YOUNGSTOWN URBAN MINORITY ALCOHOLISM AND DRUG ABUSE OUTREACH PROG INC
- Practice address
- 496 Glenwood Ave
Suite 120
Youngstown, OH 44502-1509 - Phone
- (330) 743-2772
- Fax
- (330) 743-2238
- NPI assigned
- Jan 24, 2007
- 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
- Mr. Darryl G Alexander Sr.
- Title
- Executive Director
- Phone
- (330) 743-2772
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
496 Glenwood Ave
Suite 120
Youngstown, OH 44502-1509
Mailing address
496 Glenwood Ave
Suite 120
Youngstown, OH 44502-1509
Phone (330) 743-2772
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1117 | Other | OH | DRUG & ALCOHOL PREVENTION |
National Provider Directory
National Provider Directory- Tax ID family
- Youngstown Urban Minority Alcoholism and Drug Abuse Outreach Prog Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Yumadaop
- Public Health or Welfare Agency
- Youngstown, OH
- NPI 1972043248
Locations
496 Glenwood Ave
Ste 120
Youngstown, OH 44502
Phone (330) 743-2772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1790830172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "496 GLENWOOD AVE",
"address_2": "SUITE 120",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445021509",
"telephone_number": "330-743-2772",
"fax_number": "330-743-2238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "496 GLENWOOD AVE",
"address_2": "SUITE 120",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445021509",
"telephone_number": "330-743-2772",
"fax_number": "330-743-2238"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUNGSTOWN URBAN MINORITY ALCOHOLISM AND DRUG ABUSE OUTREACH PROG INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ALEXANDER",
"authorized_official_first_name": "DARRYL",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "330-743-2772",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRUG & ALCOHOL PREVENTION",
"identifier": "1117",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Youngstown, OH
- Youngstown Physical Therapists Inc.
- Youngstown Regional Pet Scan LLC
- Youngstown Smiles Youth Dentistry Llcmichael Crites DDS
- Youngstown State University
- Youngstown State University Student Health
- Youngstown Urban Minority Alcoholism and Drug Abuse Outreach Program (Yumadaop)
- Youngstown-Warren Home Dialysis LLC
- Randy J Younkin, LPCC
- Kelley Lynne Younkins, NP-C
- Shawn Allan Yount
Sources for this page
- 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.