Provider Demographics
NPI:1811596976
Name:SAVE OUR YOUTH MOVEMENT
Entity Type:Organization
Organization Name:SAVE OUR YOUTH MOVEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARCUS
Authorized Official - Middle Name:A
Authorized Official - Last Name:MCGIRT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-632-1503
Mailing Address - Street 1:3752 HIGHWAY 34 W
Mailing Address - Street 2:
Mailing Address - City:LATTA
Mailing Address - State:SC
Mailing Address - Zip Code:29565-4485
Mailing Address - Country:US
Mailing Address - Phone:843-632-1503
Mailing Address - Fax:
Practice Address - Street 1:3752 HIGHWAY 34 W
Practice Address - Street 2:
Practice Address - City:LATTA
Practice Address - State:SC
Practice Address - Zip Code:29565-4485
Practice Address - Country:US
Practice Address - Phone:843-632-1503
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-20
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty