Youthville, USA

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

YOUTHVILLE, USA

Practice address

7208 Falls of Neuse Rd
Raleigh, NC 27615-3244

Phone

(919) 865-2680

Fax

(919) 865-2681

NPI assigned

Dec 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Victor L. Brooks Sr.

Title

President

Phone

(919) 865-2680

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871657445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97216",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276247216",
            "telephone_number": "919-865-2680",
            "fax_number": "919-865-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7208 FALLS OF NEUSE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153244",
            "telephone_number": "919-865-2680",
            "fax_number": "919-865-2681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTHVILLE, USA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-865-2680",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Your Journey Through, PLLC
• Amal Y.a. Youssef, M. D., F. A. C. P.
• Youhanna Youssef
• Youth Development Corporation of America
• Youth Development Corporation of America
• Kelly Michelle Yow, DNP, FNP-C
• I-Ling Yu, PA-C
• Yuehang Su, DMD, PLLC
• Basil Michael Yurcisin II, M.D.
• Z2 Legacy PLLC

• Emotionally Disturbed Childrens' Residential Treatment Facility in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina

• 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.