| Supported Living Youth, Family & Children Services, Inc. | |
|
5604 Valley Field Road Hickory NC 28602-5424 | |
| (704) 283-6002 | |
| (704) 225-1582 |
| Full Name | Supported Living Youth, Family & Children Services, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 5604 Valley Field Road, Hickory, North Carolina |
| Authorized Official Name and Position | Kirk Anthony Hillian (DIRECTOR) |
| Authorized Official Contact | 7046041566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Supported Living Youth, Family & Children Services, Inc. Po Box 3398 Monroe NC 28111-3398 Ph: (704) 283-6002 | Supported Living Youth, Family & Children Services, Inc. 5604 Valley Field Road Hickory NC 28602-5424 Ph: (704) 283-6002 |
| NPI Number | 1942343413 |
|---|---|
| Provider Enumeration Date | 02/15/2007 |
| Last Update Date | 08/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942343413 | NPI | - | NPPES |
| 6603910 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 101Y00000X | Counselor | MHL018074 (North Carolina) | Secondary |
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