Healthcare Provider Details

I. General information

NPI: 1467375741
Provider Name (Legal Business Name): YOUNG ADULT INSTITUTE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25-56 80TH STREET SUITE 1
FLUSHING NY
11370-1517
US

IV. Provider business mailing address

220 E 42ND ST FL 8
NEW YORK NY
10017-5832
US

V. Phone/Fax

Practice location:
  • Phone: 212-273-6100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: VERONICA HERRERA
Title or Position: ASSISTANT DIRECTOR
Credential:
Phone: 929-624-3820