Provider Demographics
NPI:1417398041
Name:Y-US, INC.
Entity Type:Organization
Organization Name:Y-US, INC.
Other - Org Name:YOUTH UNITED FOR SURVIVAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:C
Authorized Official - Last Name:MICHALSKI
Authorized Official - Suffix:JR
Authorized Official - Credentials:LCSW
Authorized Official - Phone:860-951-7268
Mailing Address - Street 1:PO BOX 261140
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06126-1140
Mailing Address - Country:US
Mailing Address - Phone:860-951-7268
Mailing Address - Fax:860-951-7269
Practice Address - Street 1:1477 PARK ST
Practice Address - Street 2:1ST FLOOR
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106-2235
Practice Address - Country:US
Practice Address - Phone:860-951-7268
Practice Address - Fax:860-951-7269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-11
Last Update Date:2014-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0081191041C0700X
261QM0850X, 261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental HealthGroup - Single Specialty