RIDGE STREET YOUTH SERVICES, INC – NPI #1992944177
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.

RIDGE STREET YOUTH SERVICES, INC is a community based residential treatment facility located in ROSE HILL, NC. NPPES has assigned the NPI number 1992944177 to RIDGE STREET YOUTH SERVICES, INC on February 12, 2009. 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 RIDGE STREET YOUTH SERVICES, INC below.

NPI Profile for
RIDGE STREET YOUTH SERVICES, INC

NPI Number
1992944177
Enumeration Date

(more than 17 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
RIDGE STREET YOUTH SERVICES, INC
Primary location
103 ASH STREET
ROSE HILL, NC 28458
Phone: (910) 289-2422 Fax: (910) 289-2734
Mailing address
PO BOX 673
ROSE HILL, NC 28458-0673
Phone: (910) 289-2422 Fax: (910) 289-2734
Organization Subpart
No
Authorized Official
ALFRED DIXON
ADMINISTRATOR
Phone: (910) 441-8563
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)
NC MHL-031-068

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.