Provider Demographics
NPI:1306691647
Name:TOTAL YOUTH SERVICES, INC.
Entity type:Organization
Organization Name:TOTAL YOUTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:GILBERT
Authorized Official - Last Name:MURDOCK
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:313-326-3550
Mailing Address - Street 1:26261 EVERGREEN RD STE 280
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48076-7507
Mailing Address - Country:US
Mailing Address - Phone:313-326-3550
Mailing Address - Fax:248-358-4193
Practice Address - Street 1:26261 EVERGREEN RD STE 280
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-7507
Practice Address - Country:US
Practice Address - Phone:313-326-3550
Practice Address - Fax:248-358-4193
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-19
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle