YOUTH180 INC. NPI 1750407250

NPI Information

NPI: 1750407250
Provider Name: YOUTH180, INC.
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
201 S TYLER ST
DALLAS, TX
ZIP 75208
Phone: (214) 942-5166
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YOUTH180, INC. is a rehabilitation and substance use disorder clinic center in Dallas, TX. YOUTH180, INC. NPI is 1750407250. The provider is registered as an organization entity type.

The provider's business location address is:

201 S TYLER ST
DALLAS, TX
ZIP 75208-934
Phone: (214) 942-5166
Fax: (214) 942-6006

The provider's authorized official is Keri Stitt .
The authorized official title is President-ceo and has the following contact phone number (972) 746-6381.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 1/22/2021.

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	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	2426-2426A	TEXAS	Yes

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	1750407250	MEDICAID	TEXAS

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: 11/14/2023

NPI Synchronization or Removal

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