| Design Destination Youth And Family Network,llc | |
|
924 Chester Cir Fayetteville NC 28303-4207 | |
| (910) 850-3025 | |
| Not Available |
| Full Name | Design Destination Youth And Family Network,llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 924 Chester Cir, Fayetteville, North Carolina |
| Authorized Official Name and Position | Latosha Marie Stanley-brown (OWNER) |
| Authorized Official Contact | 9108503025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Design Destination Youth And Family Network,llc 637 Welsh Pl Fayetteville NC 28303-5722 Ph: (910) 850-3025 | Design Destination Youth And Family Network,llc 924 Chester Cir Fayetteville NC 28303-4207 Ph: (910) 850-3025 |
| NPI Number | 1639948987 |
|---|---|
| Provider Enumeration Date | 12/28/2023 |
| Last Update Date | 09/18/2024 |
| Certification Date | 09/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639948987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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