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FAVOR YOUTH SERVICES INC. NPI 1639231194


NPI Information

NPI: 1639231194
Provider Name: FAVOR YOUTH SERVICES, INC.
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
1568 UNION RD STE A
GASTONIA, NC
ZIP 28054
Phone: (704) 866-9177
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FAVOR YOUTH SERVICES, INC. is a community behavioral health in Gastonia, NC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. FAVOR YOUTH SERVICES, INC. NPI is 1639231194. The provider is registered as an organization entity type.

The provider's business location address is:

1568 UNION RD STE A
GASTONIA, NC
ZIP 28054-211
Phone: (704) 866-9177
Fax: (704) 866-9176

The provider's authorized official is Sean Tramalle Gray .
The authorized official title is Executive Director and has the following contact phone number (704) 866-9177.

The enumeration date for this NPI number is 12/14/2006 and was last updated on 11/16/2009.


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
1251B00000XCase Management251B00000XNORTH CAROLINANo
2251C00000XDay Training, Developmentally Disabled Services251C00000XNORTH CAROLINANo
3251S00000XCommunity/Behavioral Health251S00000XNORTH 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
13418155OTHERNORTH CAROLINACAP NUMBER
28300200BMEDICAIDNORTH 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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