NPI Code Detail JSON Logo

1669970331 NPI number — YOUTH CARE CENTER INCORPORATED

NPI Number: 1669970331
Health Care Provider/Practitioner: YOUTH CARE CENTER INCORPORATED

Information about “1669970331” NPI (YOUTH CARE CENTER INCORPORATED) exists in 1669970331 in HTML format HTML  |  1669970331 in plain Text format TXT  |  1669970331 in PDF (Portable Document Format) PDF  |  1669970331 in an XML format XML  formats.

NPI Number : 1669970331 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1669970331",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "YOUTH CARE CENTER INCORPORATED",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3917 MARKET ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SNOW HILL",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "21863-4413",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "443-914-2922",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1504 S SALISBURY BLVD STE 22",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SALISBURY",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "21801-7165",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "443-914-2922",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/29/2018",
    "LastUpdateDate": "06/11/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "JOHNSON",
    "AuthorizedOfficialFirstName": "SHAWN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "443-944-1118",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3245S0500X",
          "TaxonomyName": "Children's Substance Abuse Rehabilitation Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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