Favor Youth Services, Inc.

LBN: Favor Youth Services, Inc.
Favor Youth Services, Inc. is an health care organization with primary practice located at 1568 Union Rd Ste A , Gastonia NC 28054-2211. The organization recently has 3 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Day Training, Developmentally Disabled Services, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Favor Youth Services, Inc. can be contacted via phone (704) 866-9177, or through Gray, Sean Tramalle via phone (704) 866-9177.

Contact Information

Primary practice address
1568 Union Rd Ste A Gastonia NC 28054-2211
Phone: (704) 866-9177
Fax: (704) 866-9176
Website:
Map and Directions
Authorized official contact:
Name: Gray, Sean Tramalle QMHP
Phone: (704) 866-9177

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X 251B00000X North Carolina
Agencies / Day Training, Developmentally Disabled Services 251C00000X 251C00000X North Carolina
Agencies / Community/Behavioral Health 251S00000X 251S00000X North Carolina

Profile Details

NPI number 1639231194
LBN Legal business name Favor Youth Services, Inc.
DBA Doing business as
Authorized official Gray, Sean Tramalle QMHP
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2006
Last updated Nov 16th, 2009 - about 15 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 1639231194 NPPES
North Carolina Other 3418155 CAP NUMBER
North Carolina MEDICAID 8300200B CAP NUMBER

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