COMMUNITY BASED ALTERNATIVES FOR YOUTH NPI 1114001153

NPI Information

NPI: 1114001153
Provider Name: COMMUNITY BASED ALTERNATIVES FOR YOUTH

Doing Business As: CBAY INC.

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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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 Is Doing Business As Cbay Inc..

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 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	320800000X	Community Based Residential Treatment Facility, Mental Illness		MHL-036-200	NORTH CAROLINA	Yes
2	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children		MHL-036-200	NORTH CAROLINA	X

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
1	6603472	MEDICAID	NORTH 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: 5/5/2024

NPI Synchronization or Removal

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