Youth Challenge

LBN: Youth Challenge
Youth Challenge is an health care organization with primary practice located at 519 Alabama St , Columbus MS 39702-5305. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Youth Challenge can be contacted via phone (662) 240-9788, or through Pulsifer, Aaron Ray via phone (662) 240-9788.

Contact Information

Primary practice address
519 Alabama St Columbus MS 39702-5305
Fax: (662) 240-9789
Website:
Authorized official contact:
Name: Pulsifer, Aaron Ray

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1346421484
LBN Legal business name Youth Challenge
DBA Doing business as
Authorized official Pulsifer, Aaron Ray
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2007
Last updated Nov 16th, 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 1346421484 NPPES
Mississippi MEDICAID 05536560

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