Provider Demographics
NPI:1639605843
Name:JUST IN TIME YOUTH SERVICES
Entity Type:Organization
Organization Name:JUST IN TIME YOUTH SERVICES
Other - Org Name:JUST IN TIME YOUTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:LYNETTE
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:336-437-2350
Mailing Address - Street 1:PO BOX 2162
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27216-2162
Mailing Address - Country:US
Mailing Address - Phone:336-437-2350
Mailing Address - Fax:336-270-4578
Practice Address - Street 1:432 W 5TH ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-3832
Practice Address - Country:US
Practice Address - Phone:336-437-2350
Practice Address - Fax:336-270-4578
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-08
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities