Provider Demographics
NPI:1245428473
Name:TRAINING AND HEALTH EDUCATION CENTER FOR YOUTH
Entity Type:Organization
Organization Name:TRAINING AND HEALTH EDUCATION CENTER FOR YOUTH
Other - Org Name:THE CENTER FOR YOUTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:L
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:650-576-2333
Mailing Address - Street 1:751 LAUREL ST
Mailing Address - Street 2:# 544
Mailing Address - City:SAN CARLOS
Mailing Address - State:CA
Mailing Address - Zip Code:94070-3113
Mailing Address - Country:US
Mailing Address - Phone:650-576-2333
Mailing Address - Fax:650-598-0383
Practice Address - Street 1:900 ALAMEDA DE LAS PULGAS
Practice Address - Street 2:# 224
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94402-3357
Practice Address - Country:US
Practice Address - Phone:650-576-2333
Practice Address - Fax:650-598-0383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-12
Last Update Date:2007-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health