Provider Demographics
NPI:1740985654
Name:BUILDING OUR YOUTH LLC
Entity type:Organization
Organization Name:BUILDING OUR YOUTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:SYKES
Authorized Official - Suffix:
Authorized Official - Credentials:MASTERS OF EDUCATION
Authorized Official - Phone:757-409-8235
Mailing Address - Street 1:2966 FOREST HILLS RD
Mailing Address - Street 2:
Mailing Address - City:PETERSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23805-2665
Mailing Address - Country:US
Mailing Address - Phone:757-409-8235
Mailing Address - Fax:
Practice Address - Street 1:2966 FOREST HILLS RD
Practice Address - Street 2:
Practice Address - City:PETERSBURG
Practice Address - State:VA
Practice Address - Zip Code:23805-2665
Practice Address - Country:US
Practice Address - Phone:757-409-8235
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-31
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health