MEDICARE: YOUTH & FAMILY ALLIANCE, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003914631
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YOUTH & FAMILY ALLIANCE, INC

Provider Business Mailing Address
First Line	:	PO BOX 509
Second Line	:
City	:	CASTLE HAYNE
State	:	NC
Zip	:	28429-0509
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2913 CASTLE HAYNE RD
Second Line	:
City	:	CASTLE HAYNE
State	:	NC
Zip	:	28429-5430
Country	:	US
Telephone Number	:	910-251-5858
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MRS. TAMMY YOLANDA MCDONALD
Credential	:
Telephone Number	:	910-251-5858

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	04/14/2009

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