Provider Demographics
NPI:1437885522
Name:NEWPATH YOUTH SERVICES INC.
Entity type:Organization
Organization Name:NEWPATH YOUTH SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICKY
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-645-8888
Mailing Address - Street 1:PO BOX 4084
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28145-4084
Mailing Address - Country:US
Mailing Address - Phone:704-621-9661
Mailing Address - Fax:704-919-5983
Practice Address - Street 1:500 SANFORD ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28112-5418
Practice Address - Country:US
Practice Address - Phone:704-645-8888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SANFORD GROUP HOME
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-07-29
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness