| Lrb Youth Development | |
|
3654 S Irby St Florence SC 29505-5225 | |
| (910) 987-9395 | |
| Not Available |
| Full Name | Lrb Youth Development |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3654 S Irby St, Florence, South Carolina |
| Authorized Official Name and Position | Lintrese Janea Robinson (OWNER) |
| Authorized Official Contact | 9109879395 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lrb Youth Development 1537 Diamond Rd Fayetteville NC 28311-1895 Ph: (910) 987-9395 | Lrb Youth Development 3654 S Irby St Florence SC 29505-5225 Ph: (910) 987-9395 |
| NPI Number | 1922565399 |
|---|---|
| Provider Enumeration Date | 02/21/2019 |
| Last Update Date | 02/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922565399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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