Youth Development Institute

LBN: Youth Development Institute
Youth Development Institute is an health care organization with primary practice located at 1050 N 19Th St Bldg. B, Phoenix AZ 85006-3679. 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 Development Institute can be contacted via phone (602) 254-0884, or through Cocoros, Trish via phone (602) 254-0884.

Contact Information

Primary practice address
1050 N 19Th St Bldg. B Phoenix AZ 85006-3679
Phone: (602) 254-0884
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cocoros, Trish
Phone: (602) 254-0884

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X BH-1125 Arizona

Profile Details

NPI number 1295809457
LBN Legal business name Youth Development Institute
DBA Doing business as
Authorized official Cocoros, Trish
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1295809457 NPPES
Arizona Other 455255 AHCCCS PROVIDER #

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