Center For Youth Development, LLC
Community/Behavioral Health in Durham, NC. Organization (NPI-2).
NPI number1861642001
StatusActive
Last updated in NPPESJul 17, 2011
Details
- NPI
- 1861642001
- Entity type
- Organization (NPI-2)
- Legal business name
- Center For Youth Development, LLC
- Organization subpart
- No
- Enumeration date
- Sep 24, 2008
- Last updated
- Jul 17, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | MHL-032-447 | NC | Yes |
Practice location
6409 Fayetteville Rd#120-368
Durham, NC 27713-6297
Phone 919-638-8300
Mailing address
6409 Fayetteville Rd#120-368
Durham, NC 27713-6297
Phone 919-638-8300
Authorized official
Maria Anthony
Co-Owner
9196388300
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