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NPI Code Detail

MEDICARE: YOUTH UNLIMITED INC.

MEDICARE: YOUTH UNLIMITED 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
1101YM0800XMental Health Counselor
2251S00000XCommunity/Behavioral Health Agency
3261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
4261QM0850XAdult Mental Health Clinic/Center
5261QM0855XAdolescent and Children Mental Health Clinic/Center
6253J00000XFoster Care Agency

General Provider Information

NPI Number : 1992228498
Entity Type Code : Organization
Provider Name (Legal Business Name) : YOUTH UNLIMITED INC.
Provider Business Mailing Address
First Line : PO BOX 828
Second Line :
City : TROUTDALE
State : OR
Zip : 97060-1086
Country : US
Telephone Number : 503-890-0440
Fax Number :
Provider Business Practice Location Address
First Line : 121 E HISTORIC COLUMBIA RIVER HWY
Second Line :
City : TROUTDALE
State : OR
Zip : 97060-2006
Country : US
Telephone Number : 503-890-0440
Fax Number :
Authorized Official
Title or Position : OWNER/CEO
Name : MS. APRIL RENEE JOHNSON
Credential : MPA
Telephone Number : 503-890-0440
Provider Enumeration Date : 07/17/2017
Last Update Date : 04/14/2025

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