Provider Demographics
NPI:1346033057
Name:URBANA YOUTH CENTER
Entity type:Organization
Organization Name:URBANA YOUTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TAMMI
Authorized Official - Middle Name:R
Authorized Official - Last Name:FEEHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-772-4022
Mailing Address - Street 1:160 W MARKET ST
Mailing Address - Street 2:
Mailing Address - City:URBANA
Mailing Address - State:OH
Mailing Address - Zip Code:43078-2019
Mailing Address - Country:US
Mailing Address - Phone:937-772-4022
Mailing Address - Fax:937-772-4022
Practice Address - Street 1:160 W MARKET ST
Practice Address - Street 2:
Practice Address - City:URBANA
Practice Address - State:OH
Practice Address - Zip Code:43078-2019
Practice Address - Country:US
Practice Address - Phone:937-772-4022
Practice Address - Fax:937-772-4022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-26
Last Update Date:2025-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty