OrganizationActive
Supreme Youth Development Center
NPI 1043447733 · Community/Behavioral Health Agency · Raleigh, NC
Supreme Youth Development Center is a Community/Behavioral Health Agency organization in Raleigh, NC (NPI 1043447733).
Provider details
- NPI number
- 1043447733
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Kelly Broady, Ceo/Founder(919) 824-0891
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4704 Courtney Ln Apt C
Raleigh, NC 27616-5251
Phone: (919) 824-0891
Fax: (919) 803-2356
Street-level locationGet directions
Mailing address
4704 Courtney Ln Apt C
Raleigh, NC 27616-5251
Registry dates
- Enumerated
- 2009-06-19
- Last updated
- 2009-06-19
Frequently asked questions
- What is Supreme Youth Development Center's NPI number?
- Supreme Youth Development Center's National Provider Identifier (NPI) is 1043447733, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Supreme Youth Development Center?
- Supreme Youth Development Center is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Supreme Youth Development Center located?
- Supreme Youth Development Center's practice location on file with NPPES is 4704 Courtney Ln Apt C, Raleigh, NC 27616-5251.
- What is Supreme Youth Development Center's phone number?
- The practice phone number listed in the NPPES registry for Supreme Youth Development Center is (919) 824-0891.
- Who is the authorized official for Supreme Youth Development Center?
- The authorized official listed on Supreme Youth Development Center's NPPES record is Kelly Broady, Ceo/Founder. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Supreme Youth Development Center's NPI active?
- Yes — Supreme Youth Development Center's NPI (1043447733) is active in the NPPES registry as of the last update on 2009-06-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.