Provider Demographics
NPI:1700113818
Name:STRONG YOUTH SERVICES INC
Entity Type:Organization
Organization Name:STRONG YOUTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WHITTENEY
Authorized Official - Middle Name:L
Authorized Official - Last Name:GUYTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-339-0877
Mailing Address - Street 1:627 WATER LILLY RD
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23701-0016
Mailing Address - Country:US
Mailing Address - Phone:757-339-0877
Mailing Address - Fax:888-871-3484
Practice Address - Street 1:1090 W 35TH ST STE 6
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23508-3013
Practice Address - Country:US
Practice Address - Phone:757-339-0877
Practice Address - Fax:888-871-3484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-10
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-10612251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health