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SUCCESSFUL YOUTH UNLIMITED INC NPI 1013051176


NPI Information

NPI: 1013051176
Provider Name: SUCCESSFUL YOUTH UNLIMITED, INC
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
134 MANOR DR
HIGH POINT, NC
ZIP 27260
Phone: (336) 883-7119
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SUCCESSFUL YOUTH UNLIMITED, INC is a community based residential treatment facility mental illness in High Point, NC. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. SUCCESSFUL YOUTH UNLIMITED, INC NPI is 1013051176. The provider is registered as an organization entity type.

The provider's business location address is:

134 MANOR DR
HIGH POINT, NC
ZIP 27260-620
Phone: (336) 883-7119
Fax: (336) 883-7129

The provider's authorized official is Renee Grant .
The authorized official title is Executive Director and has the following contact phone number (910) 489-1303.

The enumeration date for this NPI number is 2/20/2007 and was last updated on 8/22/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320800000XCommunity Based Residential Treatment Facility, Mental Illness041-787NORTH CAROLINAYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.