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Contact Information

REVOLUTION YOUTH INC
95 COLLEGE ST
BURLINGTON, VT05401-8426
 Phone: 207-812-6070
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Case Management

251B00000X
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
Indicates primary specialty

NPI Profile & details for REVOLUTION YOUTH INC

NPI Number 1619638905
LBN Legal business name REVOLUTION YOUTH INC
Authorized official SAVANNAH LORD - (DIRECTOR OF CLINICAL SERVICES)
Entity Organization
Organization subpart 1 No
Enumeration date 01/07/2022
Last updated 11/18/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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