Provider Demographics
NPI:1225189111
Name:NU-VISIONS FOR YOUTHS, INC.
Entity Type:Organization
Organization Name:NU-VISIONS FOR YOUTHS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DONN
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAVES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-321-1383
Mailing Address - Street 1:5304 YARDLEY TER
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-9740
Mailing Address - Country:US
Mailing Address - Phone:919-321-1383
Mailing Address - Fax:919-321-1833
Practice Address - Street 1:5304 YARDLEY TER
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-9740
Practice Address - Country:US
Practice Address - Phone:919-321-1383
Practice Address - Fax:919-321-1833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-032-385322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children