Reach For Youth, Inc

LBN: Southside Youth Council, Inc
Reach For Youth, Inc is an health care organization with primary practice located at 5401 Shelby St , Indianapolis IN 46227-4216. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Southside Youth Council, Inc can be contacted via phone (317) 788-4451, or through Nunn, Christopher via phone (317) 920-5900.

Contact Information

Primary practice address
5401 Shelby St Indianapolis IN 46227-4216
Phone: (317) 788-4451
Fax: (317) 788-4465
Website:
Map and Directions
Authorized official contact:
Name: Nunn, Christopher
Phone: (317) 920-5900

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1003994245
LBN Legal business name Southside Youth Council, Inc
DBA Doing business as Reach For Youth, Inc
Authorized official Nunn, Christopher
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2006
Last updated Jun 18th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003994245 NPPES
Indiana MEDICAID 100071720

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