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INNERCHANGE YOUTH HOMES LLC NPI 1982854360


NPI Information

NPI: 1982854360
Provider Name: INNERCHANGE YOUTH HOMES LLC

Doing Business As: INNERCHANGE YOUTH DIVISION 1

Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
724 RAINDROPS RD
GASTONIA, NC
ZIP 28054
Phone: (704) 884-0096
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INNERCHANGE YOUTH HOMES LLC is a residential treatment facility emotionally disturbed children in Gastonia, 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. INNERCHANGE YOUTH HOMES LLC NPI is 1982854360. The provider is registered as an organization entity type.
The provider Is Doing Business As Innerchange Youth Division 1.

The provider's business location address is:

724 RAINDROPS RD
GASTONIA, NC
ZIP 28054-779
Phone: (704) 884-0096
Fax: (704) 884-0097

The provider's authorized official is Dina Catress Sawyer .
The authorized official title is Owner/director and has the following contact phone number (704) 458-1356.

The enumeration date for this NPI number is 9/23/2008 and was last updated on 9/23/2008.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL036260NORTH CAROLINAYes

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

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