# PHYD, INC. (PRETTY HOMES YOUTH DEVELOPMENT)

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Destiny Homes of PHYD, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003005240
- **Authorized official:** MRS. ANDREA PRETTY (PRESIDENT)
- **Authorized official phone:** (919) 633-7800

## Contact information

- **Practice address:** 1611 POOLE RD, RALEIGH, NC 27610-2658
- **Practice address phone:** (919) 713-0035
- **Practice address fax:** (919) 713-0034
- **Mailing address:** PO BOX 20181, RALEIGH, NC 27619-0181
- **Mailing address phone:** (919) 633-7800
- **Mailing address fax:** (919) 713-0034

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-092-491 | NC | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-092-537 | NC | Yes |

## Other

- **Enumeration date:** 10/23/2007
- **Last updated:** 03/26/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6603862 | — | NC |
| 05 | — | 6604280 | — | NC |