Youth Evolution Track Llc
LBN: Youth Evolution Track Llc
Youth Evolution Track Llc is an health care organization with primary practice located at 224 Stephenson Ave Ste B , Savannah GA 31405-5921. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty.
Youth Evolution Track Llc can be contacted via phone (912) 675-3421, or through Davis, Kimberly via phone (912) 373-4385.
Contact Information
Primary practice address
224 Stephenson Ave Ste B
Savannah GA 31405-5921
Phone: (912) 675-3421
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X |
Profile Details
| NPI number | 1558959171 |
|---|---|
| LBN Legal business name | Youth Evolution Track Llc |
| DBA Doing business as | |
| Authorized official | Davis, Kimberly |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 8th, 2021 |
| Last updated | Jan 8th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558959171 | NPPES |
| Georgia | Other | 124764 | DRUG AND ALCOHOL |
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