YOUNGSTOWN URBAN MINORITY ALCOHOLISM AND DRUG ABUSE OUTREACH PROG INC (NPI# 1790830172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790830172 |
| Entity Type | Organization |
| Organization Name | YOUNGSTOWN URBAN MINORITY ALCOHOLISM AND DRUG ABUSE OUTREACH PROG INC |
| Practice Address |
496 Glenwood Ave Suite 120 Youngstown OH 44502-1509 |
| Practice Telephone | 3307432772 |
| Practice Fax Number | 3307432238 |
| Mailing Telephone | 3307432772 |
| Mailing Fax Number | 3307432238 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DARRYL G ALEXANDER SR. (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3307432772 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | DRUG & ALCOHOL PREVENTION | 1117 | 01 |
| Street Address |
496 GLENWOOD AVE SUITE 120 |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44502-1509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205189396 | Valley Home Health Company | Home Health | 496 Glenwood Ave, Suite 136, Youngstown, OH 44502-1509 | 2012-10-26 |
| 1053689851 | Kencare Education Training Center Inc | Home Health | 496 Glenwood Ave, Suite 220, Youngstown, OH 44502-1509 | 2011-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484189 | Kyle Dalton Flora | Specialist/Technologist | 577 5th Ave Rm 1103, Youngstown, OH 44502 | 2020-07-09 |
| 1700449568 | Lil Indian's Mobile Meals LLC | Meals | 3662 Loveland Rd., Youngstown, OH 44502 | 2019-04-17 |
| 1588155162 | Luke Cantin | Specialist/Technologist | 577 5th Ave, Youngstown, OH 44502 | 2018-05-19 |
| 1104377464 | Jessica Slaughter | Physical Therapist | 299 Edward Street, Youngstown, OH 44502 | 2016-10-20 |
| 1295147585 | Willow Claims Processing, LLC | Case Management | 507 Oak Hill Avenue, 551 New Court, Youngstown, OH 44502 | 2014-05-21 |
| 1821413717 | Amy Woodford | Speech-Language Pathologist | 50 Essex Street, Youngstown, OH 44502 | 2014-02-28 |
| 1710318282 | Ursuline Center | Clinic/Center | 345 Oak Hill Ave Ste 200, Youngstown, OH 44502 | 2013-12-09 |
| 1275891087 | Michael K Lemaster | Counselor | 4949 Urbana Road, Suite 201, Springfield, OH 44502 | 2012-04-30 |
| 1407027378 | Youngstown City Health District | Internal Medicine | 345 Oak Hill Avenue, Youngstown, OH 44502 | 2008-03-18 |
| 1427136431 | Rebecca Ann Nelis | Social Worker | 611 Belmont Avenue, Youngstown, OH 44502 | 2006-11-01 |
| Find all providers in zip 44502 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235742685 | Panacea Behavior Therapy | Community/Behavioral Health | 2703 Mahoning Ave Ste 103, Youngstown, OH 44509-2337 | 2020-08-26 |
| 1861017683 | Broadway Recovery Services, Inc. | Community/Behavioral Health | 1 W Federal St Ste 1407, Youngstown, OH 44503-1421 | 2020-06-09 |
| 1104451343 | Khiree Gregory | Community/Behavioral Health | 242 Maywood Dr, Youngstown, OH 44512-1259 | 2020-03-09 |
| 1336614015 | Mahoning Valley Reentry Coalition | Community/Behavioral Health | 420 Clearmount Dr, Youngstown, OH 44511-3152 | 2018-10-09 |
| 1154875888 | Aba Therapy Solutions | Community/Behavioral Health | 125 Churchill-hubbard Rd, Youngstown, OH 44505 | 2016-08-10 |
| 1902206618 | Flying High Inc. | Community/Behavioral Health | 6 Federal Plaza Central, Suite 705, Youngstown, OH 44503-1514 | 2014-08-29 |
| 1639594195 | Faucette Child & Family Counseling | Community/Behavioral Health | 3212 Mahoning Ave, Suite 4, Youngstown, OH 44509-2600 | 2014-02-20 |
| 1447594171 | New Day Counseling & Wellness, LLC | Community/Behavioral Health | 4690 Belmont Ave, Youngstown, OH 44505-1012 | 2012-11-19 |
| 1497354443 | Dylan D Wilkerson | Community/Behavioral Health | 550 W Chalmers Ave, Youngstown, OH 44511-1576 | 2020-10-21 |
| 1144836214 | Tabitha L Gatrell | Community/Behavioral Health | 527 N Meridian Rd, Youngstown, OH 44509-1227 | 2020-09-23 |
| Find all providers in YOUNGSTOWN | ||||
| City | YOUNGSTOWN |
| Zip Code | 44502 |
Please comment or provide details below to improve the information on YOUNGSTOWN URBAN MINORITY ALCOHOLISM AND DRUG ABUSE OUTREACH PROG INC.
| 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.