Organization Active NPI

Youngstown Urban Minority Alcoholism and Drug Abuse Outreach Prog Inc

  • Community/Behavioral Health Agency
  • Youngstown, OH
National Provider Identifier
1790830172
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1117OtherOHDRUG & ALCOHOL PREVENTION

National Provider Directory

National Provider Directory
Tax ID family
Youngstown Urban Minority Alcoholism and Drug Abuse Outreach Prog Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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

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.

Verify at the official NPI Registry.