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General NPI Number Information
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NPI Number | 1407076227
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Entity Type | Organization
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Legal Business Name | YOUTH SERVICES INTERNATIONAL HOLDINGS
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 188 ACADEMY AVE
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City | PROVIDENCE
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State | RI
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Zip | 02908-4452
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Country | US
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Telephone | 401-383-6216
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Fax |
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Provider Business Mailing Address
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Address Line | 6000 CATTLERIDGE DR SUITE 200
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City | SARASOTA
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State | FL
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Zip | 34232-6064
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Country | US
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Telephone | 941-953-9199
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Fax |
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Authorized Official
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Title or Position | PRESIDENTCEO
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Name | MISS JAMES F SLATTERY
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Credential |
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Telephone | 941-953-9199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State | RI
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