COMMUNITY BASED ALTERNATIVES FOR YOUTH (NPI# 1649358433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649358433 |
| Entity Type | Organization |
| Organization Name | COMMUNITY BASED ALTERNATIVES FOR YOUTH |
| Other Organization Name | CBAY INC. |
| Practice Address |
815 Limerick Drive Dallas NC 28034-9420 |
| Mailing Address |
Po Box 4003 Gastonia NC 28054-0020 |
| Practice Telephone | 7048653525 |
| Practice Fax Number | 7048653520 |
| Mailing Telephone | 7048653525 |
| Mailing Fax Number | 7048653520 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-12-18 |
| Authorized Official Name | MIKE MCNEAL (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 7048653525 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | MHL-036-220 | NC | Residential Treatment Facilities |
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | MHL-036-220 | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6603777 | 05 |
| Other Name | Type Code |
|---|---|
| CBAY Inc. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114001153 | Community Based Alternatives for Youth | Community Based Residential Treatment Facility, Mental Illness | 151 Hickory Creek Dr, Gastonia, NC 28052-9141 | 2006-10-25 |
| Street Address |
815 LIMERICK DRIVE |
| City | DALLAS |
| State | NC |
| Zip Code | 28034-9420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467759548 | Nyayp Therapeutic Services | Counselor | 1012 Philadelpia Church Rd, Dallas, NC 28034 | 2011-02-25 |
| 1790090959 | Nyayp, LLC | Counselor | 1012 Philadelphia Church Road, Ste A, Dallas, NC 28034 | 2010-08-12 |
| 1952537359 | Vimal Patel | Pharmacist | 915 W. Trade Street, Dallas, NC 28034 | 2009-06-01 |
| 1730327305 | Ingles Markets Inc | Pharmacy | 715 W Trade St, Dallas, NC 28034 | 2009-02-04 |
| 1346365848 | Dallas Express Pharmacy | Durable Medical Equipment & Medical Supplies | 111 North Hoffman, Suite A, Dallas, NC 28034 | 2007-03-21 |
| 1679577027 | Joshua W Baker | Optometrist | 820 Lower Dallas Hwy, Dallas, NC 28034 | 2005-06-13 |
| 1518469204 | Daria Fowler | Counselor | 107 N Summey St, Dallas, NC 28034 | 2018-03-08 |
| 1295106011 | Tolulope Alokolaro | Pharmacist | 1300 Dallas Cherryville Hwy, Dallas, NC 28034 | 2015-10-20 |
| 1679690994 | Karen D Packer | Speech-Language Pathologist | 1906 Dallas Cherryville Hwy, Dallas, NC 28034-0899 | 2007-03-23 |
| 1144323833 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3126 Dallas High Shoals Hwy, Dallas, NC 28034-1306 | 2006-09-07 |
| Find all providers in zip 28034 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427414895 | Polk Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 175 Ne Kings Valley Hwy Ste A, Dallas, OR 97338-1787 | 2016-01-14 |
| 1376883322 | Angels With Open Arms | Residential Treatment Facility, Emotionally Disturbed Children | 6435 Tumbling Creek Trl, Dallas, TX 75241-5915 | 2013-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617255 | Creative Helping Hands LLC | Residential Treatment Facility, Emotionally Disturbed Children | 478 Green Lake Rd, Rockingham, NC 28379-7850 | 2020-10-19 |
| 1083237986 | Revive Housing LLC | Residential Treatment Facility, Emotionally Disturbed Children | 210 Sunset Dr Apt 615, Salisbury, NC 28147-7147 | 2020-05-26 |
| 1457998627 | Re Health Group | Residential Treatment Facility, Emotionally Disturbed Children | 1102 Groves St, Kings Mountain, NC 28086-2232 | 2019-12-05 |
| 1821631532 | Marquita Latrice Walls | Residential Treatment Facility, Emotionally Disturbed Children | 1565 Longbranch Rd, Grover, NC 28073-9599 | 2019-10-25 |
| 1699233866 | A Brighter Path LLC | Residential Treatment Facility, Emotionally Disturbed Children | 120 Jetter Rd, Grover, NC 28073-9687 | 2019-03-06 |
| 1821562224 | Carter Clinic, Pa | Residential Treatment Facility, Emotionally Disturbed Children | 703 W 3rd Ave Bldg A, Red Springs, NC 28377-1524 | 2019-01-18 |
| 1659842607 | Gervonia Robinson | Residential Treatment Facility, Emotionally Disturbed Children | 1714 Aster Ln, Gastonia, NC 28054-8303 | 2018-12-16 |
| 1679058440 | Miracle Houses Inc | Residential Treatment Facility, Emotionally Disturbed Children | 7827 Kerrybrook Cir, Charlotte, NC 28214-2513 | 2018-09-27 |
| 1174048078 | A Safe Place Community Housing, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 2049 Highland St, Charlotte, NC 28208-4909 | 2017-08-11 |
| 1104346881 | Inspiration for Us | Residential Treatment Facility, Emotionally Disturbed Children | 1205 W Mountain St, Kernersville, NC 27284-2173 | 2017-06-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.