TEAM SUCCESS YOUTH HOME
NPI 1831341429
Residential Treatment Facility, Emotionally Disturbed Children in Newton, NC
- Organization
- Residential Treatment Facility, Emotiona...
About TEAM SUCCESS YOUTH HOME
This page provides the complete NPI Profile along with additional information for Team Success Youth Home, a provider established in Newton, North Carolina operating as a Residential Treatment Facility, Emotionally Disturbed Children. The healthcare provider is registered in the NPI registry with number 1831341429 assigned on October 2008. The practitioner's primary taxonomy code is 322D00000X with license number MHL-018-086 (NC). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Team Success Youth Home. The authorized official of this NPI record is Mr. Dwayne Anthony Herbert Bba, Mba (Executive Director)
- NPI
- 1831341429 Verify this NPI
- Provider Legal Name
- TEAM SUCCESS LLC
- Other Organization Name
- TEAM SUCCESS YOUTH HOME
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3393 STARTOWN RD NEWTON, NC 28658
- Location Phone
- (704) 668-3573
- Mailing Address
- 251 N HIGHWAY 16 APT. 14 DENVER, NC 28037
- Mailing Phone
- (704) 668-3573
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-15-2008
- Last Update Date
- 10-15-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Residential Treatment Facility, Emotionally Disturbed Children
- Taxonomy Code
- 322D00000X
- Type
- Residential Treatment Facilities
- License No.
- MHL-018-086
- License State
- NC
- Taxonomy Description
- A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1831341429, enumerated as an "organization" on October 15, 2008.
The provider is located at 3393 STARTOWN RD NEWTON, NC 28658 and the phone number is (704) 668-3573.
Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.
