Provider Demographics
NPI:1619259421
Name:THE NATIONAL COMMITTEE ON YOUTH
Entity Type:Organization
Organization Name:THE NATIONAL COMMITTEE ON YOUTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ADDIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SONUBI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-293-2424
Mailing Address - Street 1:PO BOX 15411
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:41015-0411
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1115 PENDLETON ST
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45202-8815
Practice Address - Country:US
Practice Address - Phone:513-421-8600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-16
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management