Provider Demographics
NPI:1962416305
Name:YOUTH EMPOWERMENT OF JOHNSTON COUNTY, INC.
Entity type:Organization
Organization Name:YOUTH EMPOWERMENT OF JOHNSTON COUNTY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:RENE'
Authorized Official - Last Name:ROWLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-965-6940
Mailing Address - Street 1:607 N WEBB ST
Mailing Address - Street 2:
Mailing Address - City:SELMA
Mailing Address - State:NC
Mailing Address - Zip Code:27576-2659
Mailing Address - Country:US
Mailing Address - Phone:919-965-6940
Mailing Address - Fax:919-975-0339
Practice Address - Street 1:607 N WEBB ST
Practice Address - Street 2:
Practice Address - City:SELMA
Practice Address - State:NC
Practice Address - Zip Code:27576-2659
Practice Address - Country:US
Practice Address - Phone:919-965-6940
Practice Address - Fax:919-975-0339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251V00000XAgenciesVoluntary or Charitable
Not Answered343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Not Answered347B00000XTransportation ServicesBus
Not Answered347C00000XTransportation ServicesPrivate Vehicle
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC=========OtherEIN