100 Real Arts Youth Corps

LBN: 100 Real Arts Youth Corps
100 Real Arts Youth Corps is an health care organization with primary practice located at 331 E Main St Ste 200 , Rock Hill SC 29730-5384. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. 100 Real Arts Youth Corps can be contacted via phone (704) 726-5876, or through Young, Maurice via phone (704) 726-5876.

Contact Information

Primary practice address
331 E Main St Ste 200 Rock Hill SC 29730-5384
Phone: (704) 726-5876
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Young, Maurice
Phone: (704) 726-5876

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1598358848
LBN Legal business name 100 Real Arts Youth Corps
DBA Doing business as
Authorized official Young, Maurice
Entity Organization
Organization subpart 1 No
Enumeration date Feb 18th, 2021
Last updated Jul 1st, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598358848 NPPES
South Carolina MEDICAID 1245750041

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