Provider Demographics
NPI:1942431432
Name:HAND UP HOMES FOR YOUTH, INC.
Entity Type:Organization
Organization Name:HAND UP HOMES FOR YOUTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-318-0311
Mailing Address - Street 1:PO BOX 740699
Mailing Address - Street 2:SUITE 212
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80006-0699
Mailing Address - Country:US
Mailing Address - Phone:303-318-0311
Mailing Address - Fax:303-318-0288
Practice Address - Street 1:4192 WEST HIGHWAY 70
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:NC
Practice Address - Zip Code:28752-7547
Practice Address - Country:US
Practice Address - Phone:828-439-8191
Practice Address - Fax:828-439-2622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-31
Last Update Date:2009-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-059-042322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children