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Youth Focus

Organization Active NPI Emotionally Disturbed Childrens' Residential Treatment Facility · Greensboro, NC

NPI 1922144591 · NPPES record last updated Mar 11, 2019

Key facts

NPI
1922144591
Entity type
Organization (NPI type 2)
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X
License
MHL041-631 (NC)
Legal business name
YOUTH FOCUS
Practice address
5016 W Friendly Ave
Greensboro, NC 27410-4346
Phone
(336) 852-5688
NPI assigned
Jan 30, 2007
Organization subpart
No

Authorized official

Name
Jennifer Lewis
Title
Executive Director
Phone
(336) 274-5909

Corporate family (same tax ID) 18

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

National Provider Directory

Tax ID family
Youth Focus (19 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL041-631 NC Yes

Addresses

Primary practice location

5016 W Friendly Ave
Greensboro, NC 27410-4346

Mailing address

405 Parkway Ste a
Greensboro, NC 27401-1693
Phone (336) 274-5909

Other identifiers

IdentifierTypeStateIssuer
6603067MedicaidNC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 11, 2019.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1922144591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 PARKWAY STE A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011693",
            "telephone_number": "336-274-5909",
            "fax_number": "336-274-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5016 W FRIENDLY AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274104346",
            "telephone_number": "336-852-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH FOCUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-274-5909"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL041-631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603067",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

All providers in Greensboro, NC · Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina

Sources for this page

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