Organization
YOUTH180, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KERI STITT (PRESIDENT-CEO)
(972) 746-6381
Entity
Organization
Contact information
Practice address
201 S TYLER ST, DALLAS, TX 75208-4934
(214) 942-5166
(214) 942-6006
Mailing address
7777 FOREST LN STE C410, DALLAS, TX 75230-2599
(972) 566-4680
(972) 566-6378
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
2426-2426A
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750407250
—
TX
Enumeration date
03/22/2007
Last updated
10/10/2025
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