Youth Bridge, Inc., NPI 1699803577
Community/Behavioral Health Agency in Rogers, AR, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1699803577
NPI Entity Type Organization
Provider Name Youth Bridge, Inc.
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 2005 W Elm St, Rogers, AR, US
Provider Mailing Address 2885 W Battlefield St, Springfield, MO, US, 658073952
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Jennifer Lynn Gagnon
Official Position CHIEF FINANCIAL OFFICER
Phone 417-761-5012

Primary Taxonomy

Taxonomy Code

251S00000X

Taxonomy Name Community/Behavioral Health Agency
Classification

Community/Behavioral Health

Group

Agencies

Description A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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.

Other Organization Name

Burrell Behavioral Health
Doing Business As

Business Address

Youth Bridge, Inc.
2005 W Elm St

Rogers, AR, US

Phone: 479-636-0083
Fax: 479-636-0144

Mailing Address

Youth Bridge, Inc.
2885 W Battlefield St
Springfield, MO, US
ZIP 658073952
Phone: 417-761-5000
Fax: 417-761-5011

Secondary Taxonomies

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
2055 AR COUNCIL ON ACCREDITATION 01
100028894 AR DHHS 01
D12530 AR OADAP 01

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