TAKING BACK OUR YOUTH NPI 1093585366

NPI Information

NPI: 1093585366
Provider Name: TAKING BACK OUR YOUTH
Classification: Peer Specialist - 175T00000X
Entity Type: Organization
Address:
2012 W 25TH ST FL 7
CLEVELAND, OH
ZIP 44113
Phone: (216) 799-9944
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TAKING BACK OUR YOUTH is a peer specialist in Cleveland, OH. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. TAKING BACK OUR YOUTH NPI is 1093585366. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2012 W 25TH ST FL 7
CLEVELAND, OH
ZIP 44113-135
Phone: (216) 799-9944

The provider's authorized official is Makanya Latasha Sarvera Smith .
The authorized official title is Executive Director and has the following contact phone number (216) 799-9944.

The enumeration date for this NPI number is 1/8/2024 and was last updated on 1/8/2024.

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	171W00000X	Contractor				No
2	175T00000X	Peer Specialist				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: 5/5/2024

NPI Synchronization or Removal

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