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ALTERNATIVE RESIDENTIAL YOUTH RESOURCES NPI 1629117262


NPI Information

NPI: 1629117262
Provider Name: ALTERNATIVE RESIDENTIAL YOUTH RESOURCES

Doing Business As: ACHIEVEMENT PLACE

Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
2301 STANLEY RD
GREENSBORO, NC
ZIP 27407
Phone: (336) 392-0489
Get Directions

ALTERNATIVE RESIDENTIAL YOUTH RESOURCES is a residential treatment facility emotionally disturbed children in Greensboro, NC. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. ALTERNATIVE RESIDENTIAL YOUTH RESOURCES NPI is 1629117262. The provider is registered as an organization entity type.
The provider Is Doing Business As Achievement Place.

The provider's business location address is:

2301 STANLEY RD
GREENSBORO, NC
ZIP 27407-913
Phone: (336) 392-0489
Fax: (336) 294-8432

The provider's authorized official is Samuel L Parrish .
The authorized official title is Executive Director, Owner and has the following contact phone number (336) 392-0489.

The enumeration date for this NPI number is 2/6/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL-041-670NORTH 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16603498MEDICAIDNORTH 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: 4/28/2024

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