Revolution Youth

LBN: Revolution Youth
Revolution Youth is an health care organization with primary practice located at 95 College St , Burlington VT 05401-8426. The organization recently has 3 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Agencies / Community/Behavioral Health is the primary health care specialty. Revolution Youth can be contacted via phone (207) 812-6070, or through Lord, Savannah via phone (207) 812-6070.

Contact Information

Primary practice address
95 College St Burlington VT 05401-8426
Phone: (207) 812-6070
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lord, Savannah LICSW, LADC
Phone: (207) 812-6070

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1619638905
LBN Legal business name Revolution Youth
DBA Doing business as
Authorized official Lord, Savannah LICSW, LADC
Entity Organization
Organization subpart 1 No
Enumeration date Jan 7th, 2022
Last updated Jun 23rd, 2022 - about 2 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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