Keystone Youth Services, Inc.

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

MHL041912 Issued in NC

Legal business name

KEYSTONE YOUTH SERVICES, INC.

Practice address

4411 Belfield Dr
Greensboro, NC 27405-6313

Phone

(336) 456-7705

NPI assigned

Jun 24, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Gayland Anthony Oliver, MBA

Title

Director

Phone

(336) 456-7705

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245801600000",
    "number": "1952539314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 BELFIELD DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274056313",
            "telephone_number": "336-456-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 BELFIELD DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274056313",
            "telephone_number": "336-456-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE YOUTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-24",
        "last_updated": "2009-06-24",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "GAYLAND",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-456-7705",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL041912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eve M Key, FNP
• Kristopher Logan Key, CRNA
• Megan Key, SLP
• Keyachtta Hawkins, DDS, 2, PLLC
• Lurline Keyser
• Sol Khaitas
• Billal Khaled
• Salman Ali Jehangir Khaliqdina, MBBS
• Fahad Gul Khan, DDS
• Farooque S.a. Khan, MD

• Emotionally Disturbed Childrens' Residential Treatment Facility in Greensboro, NC
• Providers in Greensboro, 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 Jun 24, 2009; 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.