Provider Demographics
NPI:1801339692
Name:NURTURE FUTURE YOUTH INC
Entity type:Organization
Organization Name:NURTURE FUTURE YOUTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:OSBORNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-257-2250
Mailing Address - Street 1:PO BOX 1133
Mailing Address - Street 2:
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30515-8133
Mailing Address - Country:US
Mailing Address - Phone:678-257-2250
Mailing Address - Fax:
Practice Address - Street 1:185 CAROLINA LN
Practice Address - Street 2:
Practice Address - City:LAVONIA
Practice Address - State:GA
Practice Address - Zip Code:30553-1630
Practice Address - Country:US
Practice Address - Phone:678-257-2250
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-28
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable