Organization Active NPI

Vision Youth Services Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Stone Mountain, GA
National Provider Identifier
1871879312
Registry record updated Oct 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
VISION YOUTH SERVICES INC.
Practice address
4228 Redan Rd
Stone Mountain, GA 30083-5040
Phone
(863) 701-5100
NPI assigned
Oct 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2011

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

Authorized official

Name
Ms. Angela Christian
Title
President/ Ceo
Phone
(863) 701-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

4228 Redan Rd
Stone Mountain, GA 30083-5040

Mailing address

690 Shore VW
Lithonia, GA 30058-9009
Phone (863) 701-5100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1319760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319760000000",
    "number": "1871879312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 SHORE VW",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300589009",
            "telephone_number": "863-701-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4228 REDAN RD",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300835040",
            "telephone_number": "863-701-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION YOUTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-28",
        "last_updated": "2011-10-28",
        "status": "A",
        "authorized_official_last_name": "CHRISTIAN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PRESIDENT/ CEO",
        "authorized_official_telephone_number": "863-701-5100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; 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.