Youth Adult Care Management

LBN: Youth Adult Care Management
Youth Adult Care Management is an health care organization with primary practice located at 1906 Woodlawn St , Kannapolis NC 28083-3058. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Youth Adult Care Management can be contacted via phone (704) 933-3505, or through Black, Chon via phone (704) 933-3505.

Contact Information

Primary practice address
1906 Woodlawn St Kannapolis NC 28083-3058
Phone: (704) 933-3505
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Black, Chon
Phone: (704) 933-3505

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X MHL-080-093 North Carolina

Profile Details

NPI number 1649304437
LBN Legal business name Youth Adult Care Management
DBA Doing business as
Authorized official Black, Chon
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2007
Last updated Aug 1st, 2007 - about 17 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 1649304437 NPPES
North Carolina Other 015WC BCBS
North Carolina MEDICAID 6603114 BCBS

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