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PRO KIDS YOUTH AND FAMILY SERVICE
NPI 1154578458
Community Based Residential Treatment Facility, Mental Illness in Gastonia, NC

Active since August 19, 2008
2559 QUAIL RIDGE DR, GASTONIA, NC 28056(704) 674-5455(704) 867-7338 Get Directions Write a Review

NPPES record last updated: August 19, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pro Kids Youth And Family Service NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRO KIDS YOUTH AND FAMILY SERVICE (NPI 1154578458) is a healthcare organization registered as a community based residential treatment facility, mental illness in Gastonia, North Carolina and active in the NPI registry since August 2008. The organization lists Demise Lamaar Williams, Ceo, as its authorized official.

NPPES Registry Identity

NPI1154578458
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NamePRO KIDS YOUTH AND FAMILY SERVICE
Location Address2559 QUAIL RIDGE DRGastonia, NC 28056-9205
Mailing Address2559 Quail Ridge DrGastonia, NC 28056-9205 · (704) 674-5455 · Fax (704) 867-7338
Phone(704) 674-5455
Fax(704) 867-7338
Organization SubpartNo
Authorized OfficialDemise Lamaar WilliamsCeo · (704) 674-5455
Enumeration DateAugust 19, 2008
✔ NPI 1154578458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License✔ Licensed in NC · 320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
2559 QUAIL RIDGE DR, Gastonia, NC 28056
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

612 BEHAVIORAL AND COMMUNITY SERVICES
Community/Behavioral Health
2559 QUAIL RIDGE DR
GASTONIA, NC 28056
Gaston County (704) 674-5455
PRO KIDS YOUTH AND FAMILY SERVICE
Case Management
2559 QUAIL RIDGE DR
GASTONIA, NC 28056
Gaston County (704) 674-5455

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pro Kids Youth And Family Service's NPI number?

The NPI number for Pro Kids Youth And Family Service is 1154578458. It was assigned to this organization in the NPPES registry on August 19, 2008.

Where is Pro Kids Youth And Family Service located?

Pro Kids Youth And Family Service is located at 2559 Quail Ridge Dr, Gastonia, NC 28056. The listed phone number is (704) 674-5455.

What is Pro Kids Youth And Family Service's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Pro Kids Youth And Family Service was last updated on August 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.