Pro Kids Youth And Family Service in Gastonia - Community Based Residential Treatment Facility, Mental Illness
Pro Kids Youth And Family Service - NPI 1154578458
Pro Kids Youth And Family Service is a Community Based Residential Treatment Facility, Mental Illness in Gastonia, North Carolina. Pro Kids Youth And Family Service practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Pro Kids Youth And Family Service is 1154578458. The last update date is 2008-08-19.
Pro Kids Youth And Family Service's current location address is 2559 Quail Ridge Dr, Gastonia, North Carolina. You can contact this provider via phone number 7046745455 and fax number 7048677338. The mailing address for Pro Kids Youth And Family Service is 2559 Quail Ridge Dr, Gastonia, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pro Kids Youth And Family Service |
|---|---|
| Address | 2559 Quail Ridge Dr, Gastonia, North Carolina |
| Phone Number | 7046745455 |
| Fax Number | 7048677338 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Williams Lamaar Demise |
| Telephone Number | 7046745455 |
NPI Number Detail
| NPI Number | 1154578458 |
|---|---|
| Provider Enumeration Date | 2008-08-19 |
| Last Updated Date | 2008-08-19 |
Provider Mailing Address Detail
| Address | 2559 Quail Ridge Dr |
|---|---|
| City | Gastonia |
| State | North Carolina (NC) |
| Post Code | 280569205 |
| Phone Number | 7046745455 |
| Fax Number | 7048677338 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
| Licence No | 320800000X |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Pro Kids Youth And Family Service by the Centers for Medicare & Medicaid Services?
The Pro Kids Youth And Family Service has been issued the NPI (National Provider Identifier) 1154578458, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Pro Kids Youth And Family Service?
The Pro Kids Youth And Family Service is physically situated at 2559 Quail Ridge Dr, in the city of Gastonia, state of NC, with the postal code 280569205.
What is the area of specialization for Pro Kids Youth And Family Service, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Pro Kids Youth And Family Service is Community Based Residential Treatment Facility, Mental Illness, and the corresponding taxonomy code that categorizes this area of expertise is 320800000X.
On what date did Pro Kids Youth And Family Service receive its 1154578458 assignment from the Centers for Medicare & Medicaid Services?
The Pro Kids Youth And Family Service was assigned its 1154578458 on 2008-08-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Pro Kids Youth And Family Service most recently updated or revised?
The information pertaining to Pro Kids Youth And Family Service, including its address, specialty, and other relevant details, was last updated or revised on 2008-08-19.
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