Organization Name: | COMMUNITY BASED ALTERNATIVES FOR YOUTH |
NPI Number: | 1649358433 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MIKE MCNEAL (DIRECTOR OF OPERATIONS) |
Mailing Address: | 815 Limerick Drive Dallas |
State: | NC US |
Postal Code: | 280349420 |
Phone Number: | 7048653525 |
Fax Number: | 7048653520 |
NPI Enumeration Date: | 11/01/2006 |
NPI Last Update Date: | 12/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320800000X |
License Number: | MHL-036-220 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment Facility, Mental Illness |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |