Youth Unlimited Inc | |
2869 Youth Unlimited Dr Sophia NC 27350-8460 | |
(336) 861-9243 | |
Not Available |
Full Name | Youth Unlimited Inc |
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Speciality | Community/behavioral Health |
Location | 2869 Youth Unlimited Dr, Sophia, North Carolina |
Authorized Official Name and Position | R Clifford Parker (EX DIRECTOR) |
Authorized Official Contact | 3368831361 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Youth Unlimited Inc Po Box 485 High Point NC 27261-0485 Ph: (336) 883-1361 | Youth Unlimited Inc 2869 Youth Unlimited Dr Sophia NC 27350-8460 Ph: (336) 861-9243 |
NPI Number | 1447698659 |
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Provider Enumeration Date | 06/10/2013 |
Last Update Date | 06/10/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447698659 | NPI | - | NPPES |
8300354R | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 076-086 (North Carolina) | Primary |
Youth Unlimited Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2962 Youth Unlimited Dr, Sophia, NC 27350 Phone: 336-861-9243 |