Provider Demographics
NPI:1184807588
Name:FRANKLIN COUNTY YOUTH CENTER, INC.
Entity type:Organization
Organization Name:FRANKLIN COUNTY YOUTH CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:540-483-4709
Mailing Address - Street 1:70 S MAIN ST
Mailing Address - Street 2:P.O. BOX 481
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:VA
Mailing Address - Zip Code:24151-1549
Mailing Address - Country:US
Mailing Address - Phone:540-483-8008
Mailing Address - Fax:540-483-3431
Practice Address - Street 1:70 S MAIN ST
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:VA
Practice Address - Zip Code:24151-1549
Practice Address - Country:US
Practice Address - Phone:540-483-8008
Practice Address - Fax:540-483-3431
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
347C00000X
VA251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No347C00000XTransportation ServicesPrivate Vehicle