Valley Youth Substance Abuse Center
Counselor, Professional in Roanoke Rapids, NC. Organization (NPI-2).
NPI number1336765262
StatusActive
Last updated in NPPESJul 22, 2020
Details
- NPI
- 1336765262
- Entity type
- Organization (NPI-2)
- Legal business name
- Valley Youth Substance Abuse Center
- Organization subpart
- No
- Enumeration date
- Jun 16, 2020
- Certification date
- Jul 22, 2020
- Last updated
- Jul 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 103TP2701X | Psychologist, Group Psychotherapy | – | – |
Practice location
1445 Georgia AveRoanoke Rapids, NC 27870-4653
Phone 252-676-9982
Mailing address
804 Melvin RdLittleton, NC 27850-8787
Phone 252-676-9982
Authorized official
Shinah Best
Bs
2526769982
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