| Guilford Youth Initiative, Inc. | |
|
155 Northpoint Ave Ste 101 High Point NC 27262-7738 | |
| (336) 884-8840 | |
| (336) 884-8842 |
| Full Name | Guilford Youth Initiative, Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 155 Northpoint Ave, High Point, North Carolina |
| Authorized Official Name and Position | J Graham Reaves (PRESIDENT) |
| Authorized Official Contact | 3368848840 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guilford Youth Initiative, Inc. 155 Northpoint Ave Ste 101 High Point NC 27262-7738 Ph: (336) 884-8840 | Guilford Youth Initiative, Inc. 155 Northpoint Ave Ste 101 High Point NC 27262-7738 Ph: (336) 884-8840 |
| NPI Number | 1275699985 |
|---|---|
| Provider Enumeration Date | 12/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275699985 | NPI | - | NPPES |
| 6005973 | Medicaid | NC | |
| 6111908 | Medicaid | NC | |
| 6110562 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | MHL-041-737 (North Carolina) | Primary |
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