Youth Adult Care Management

LBN: Youth Adult Care Management
Youth Adult Care Management is an health care organization with primary practice located at 1395 Mistletoe Ridge Pl Nw , Concord NC 28027-7877. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Youth Adult Care Management can be contacted via phone (704) 933-3505, or through Black, Chon via phone (704) 933-3505.

Contact Information

Primary practice address
1395 Mistletoe Ridge Pl Nw Concord NC 28027-7877
Phone: (704) 933-3505
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Black, Chon
Phone: (704) 933-3505

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X MHL-013-068 North Carolina

Profile Details

NPI number 1427182211
LBN Legal business name Youth Adult Care Management
DBA Doing business as
Authorized official Black, Chon
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2007
Last updated Aug 1st, 2007 - about 19 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 1427182211 NPPES
North Carolina MEDICAID 6603115
North Carolina Other 015WC

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