Idea Youth Success Center

LBN: Idea Youth Success Center
Idea Youth Success Center is an health care organization with primary practice located at 1518 Vaughn Blvd , Fort Worth TX 76105-2307. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, Residential Treatment Facilities / Substance Abuse Treatment, Children. Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children is the primary health care specialty. Idea Youth Success Center can be contacted via phone (214) 515-2079, or through Woodard, Detitria via phone (214) 515-2079.

Contact Information

Primary practice address
1518 Vaughn Blvd Fort Worth TX 76105-2307
Phone: (214) 515-2079
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Woodard, Detitria
Phone: (214) 515-2079

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X
Residential Treatment Facilities / Substance Abuse Treatment, Children 3245S0500X

Profile Details

NPI number 1013397892
LBN Legal business name Idea Youth Success Center
DBA Doing business as
Authorized official Woodard, Detitria
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2015
Last updated Jun 5th, 2015 - about 9 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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