| Youth Villages | |
|
363 Church St N 200 Concord NC 28025-4589 | |
| (704) 262-1360 | |
| Not Available |
| Full Name | Youth Villages |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 363 Church St N, Concord, North Carolina |
| Authorized Official Name and Position | Jasmine Luster (MST FAMILY COUNSELOR) |
| Authorized Official Contact | 7042621360 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth Villages 363 Church St N 200 Concord NC 28025-4589 Ph: () - | Youth Villages 363 Church St N 200 Concord NC 28025-4589 Ph: (704) 262-1360 |
| NPI Number | 1790151611 |
|---|---|
| Provider Enumeration Date | 08/14/2015 |
| Last Update Date | 08/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790151611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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