Organization · Type 2 NPI
Youthbridge
Mental Illness Community Based Residential Treatment Facility · Fayettville, AR
NPI number
1912314972
Active
Practice location
2153 E Joyce Blvd
Fayettville, AR 72703
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | 171MOOOOOX (AR) |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
31 other providers at this address
- Allison SimsCase Manager/Care Coordinator Fayetteville, AR NPI 1578084356
- Brianna SewellCase Manager/Care Coordinator Fayetteville, AR NPI 1609321058
- Brittney MitchellCase Manager/Care Coordinator Fayetteville, AR NPI 1316494594
- Candice Leigh GrahamCounselor Fayetteville, AR NPI 1710295076
- Carol LashCounselor Fayetteville, AR NPI 1306128897
- Christopher Hart, MHPP, CITCase Manager/Care Coordinator Fayetteville, AR NPI 1588023253
- Daniel Ryan MeyerMental Health Counselor Fayetteville, AR NPI 1053841635
- Dara Schwarz, BACase Manager/Care Coordinator Fayetteville, AR NPI 1124425327
- Gregory Lee GoodwinCounselor Fayetteville, AR NPI 1902191950
- Holly Womack-NelsonCase Manager/Care Coordinator Fayetteville, AR NPI 1306494182
- Jaclyn McMillan, BACounselor Fayetteville, AR NPI 1003174079
- Jarrin Eugene ParyzekTechnician/Technologist Fayetteville, AR NPI 1295256352
About NPI 1912314972
Youthbridge's National Provider Identifier is 1912314972, issued on Jul 22, 2014. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Fayettville, AR. The record was last updated on Jul 22, 2014.