Provider Demographics
NPI:1700022506
Name:COALITION OF YOUTH EMPOWERMENT INC.
Entity Type:Organization
Organization Name:COALITION OF YOUTH EMPOWERMENT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CAMILLE
Authorized Official - Middle Name:YVETTE
Authorized Official - Last Name:PARHAM
Authorized Official - Suffix:
Authorized Official - Credentials:MHS
Authorized Official - Phone:804-677-0430
Mailing Address - Street 1:600 E.A. TURNER RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:27589-8931
Mailing Address - Country:US
Mailing Address - Phone:804-677-0430
Mailing Address - Fax:
Practice Address - Street 1:600 E.A. TURNER RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:27589-8931
Practice Address - Country:US
Practice Address - Phone:804-677-0430
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-29
Last Update Date:2008-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider Agency