COMMUNITY BASED ALTERNATIVES FOR YOUTH NPI 1114001153

NPI Information

  • NPI: 1114001153
  • Provider Name: COMMUNITY BASED ALTERNATIVES FOR YOUTH
  • Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
  • Entity Type: Organization
  • :
  • Address: 151 HICKORY CREEK DR
    GASTONIA, NC
    ZIP 28052
  • Phone: (704) 865-3525

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NPI Details

COMMUNITY BASED ALTERNATIVES FOR YOUTH is a community based residential treatment facility mental illness in Gastonia, NC. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. COMMUNITY BASED ALTERNATIVES FOR YOUTH NPI is 1114001153. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

151 HICKORY CREEK DR
GASTONIA, NC
ZIP 28052-141
Phone: (704) 865-3525
Fax: (704) 865-3520

The provider's authorized official is Mike Mcneal .
The authorized official title is Director Of Operations and has the following contact phone number (704) 865-3525.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 9/11/2025.

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
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL-036-200NORTH CAROLINANo
2320800000XCommunity Based Residential Treatment Facility, Mental IllnessMHL-036-200NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16603472MEDICAIDNORTH CAROLINA

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: 11/21/2025

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