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PROMISING YOUTH & ADULTS BEHAVIORAL HEALTHCARE INC NPI 1194084194


NPI Information

NPI: 1194084194
Provider Name: PROMISING YOUTH & ADULTS BEHAVIORAL HEALTHCARE, INC

Other Name: PROMISING YOUTH, INC

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
2750 E WT HARRIS BLVD STE 105
CHARLOTTE, NC
ZIP 28213
Phone: (704) 509-0009
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PROMISING YOUTH & ADULTS BEHAVIORAL HEALTHCARE, INC is a community based residential treatment facility mental illness in Charlotte, NC. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. PROMISING YOUTH & ADULTS BEHAVIORAL HEALTHCARE, INC NPI is 1194084194. The provider is registered as an organization entity type.
The provider Other Name Is Promising Youth, Inc.

The provider's business location address is:

2750 E WT HARRIS BLVD STE 105
CHARLOTTE, NC
ZIP 28213-286
Phone: (704) 509-0009
Fax: (704) 494-3555

The provider's authorized official is Shaunta Bethea .
The authorized official title is Ceo and has the following contact phone number (704) 258-7051.

The enumeration date for this NPI number is 5/10/2012 and was last updated on 5/10/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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