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YOUTH OPPORTUNITY CENTER INC. NPI 1942451224


NPI Information

NPI: 1942451224
Provider Name: YOUTH OPPORTUNITY CENTER, INC.
Classification: Psychologist - 103TH0100X
Entity Type: Organization

Specialization: Health Service

Address:
3700 W KILGORE AVE
MUNCIE, IN
ZIP 47304
Phone: (765) 289-5437
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YOUTH OPPORTUNITY CENTER, INC. is a health service psychologist in Muncie, IN. The provider is a psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). YOUTH OPPORTUNITY CENTER, INC. NPI is 1942451224. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3700 W KILGORE AVE
MUNCIE, IN
ZIP 47304-810
Phone: (765) 289-5437
Fax: (765) 213-5094

The provider's authorized official is Richard D. Rowray .
The authorized official title is Chief Executive Officer and has the following contact phone number (765) 289-5437.

The enumeration date for this NPI number is 10/6/2008 and was last updated on 10/6/2008.


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
1103TH0100XPsychologistHealth Service20041804AINDIANAYes

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
1200888020AMEDICAIDINDIANA

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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