ONE MORE CHANCE YOUTH NPI 1023159274

NPI Information

NPI: 1023159274
Provider Name: ONE MORE CHANCE YOUTH
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
322 WALKER AVE
GRAHAM, NC
ZIP 27253
Phone: (336) 226-6449
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ONE MORE CHANCE YOUTH is a community based residential treatment facility, intellectual and/or developmental disabilities in Graham, NC. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. ONE MORE CHANCE YOUTH NPI is 1023159274. The provider is registered as an organization entity type.

The provider's business location address is:

322 WALKER AVE
GRAHAM, NC
ZIP 27253-426
Phone: (336) 226-6449

The provider's authorized official is Monteney Wright .
The authorized official title is Director and has the following contact phone number (336) 451-5401.

The enumeration date for this NPI number is 2/9/2007 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
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		MHL 001-140	NORTH CAROLINA	Yes

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

NPI Synchronization or Removal

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