YOUTHBRIDGE – NPI #1912314972
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Mental Illness

YOUTHBRIDGE is a community based residential treatment facility located in FAYETTEVILLE, AR. NPPES has assigned the NPI number 1912314972 to YOUTHBRIDGE on July 22, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for YOUTHBRIDGE below.

NPI Profile for
YOUTHBRIDGE

NPI Number
1912314972
Enumeration Date

(about 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
YOUTHBRIDGE
Primary location
2153 E JOYCE BLVD
FAYETTEVILLE, AR 72703
Phone: (479) 575-9471 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARILYN HOKE
HUMAN RESOURCES
Phone: (479) 575-9471
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)		 AR 171MOOOOOX

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.