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Organization
YOUTH UNLIMITED INC
Active
Organization
YOUTH UNLIMITED INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. R CLIFFORD PARKER JR. M.A. LPC (EX DIRECTOR)
(336) 883-1361
Entity
Organization
Contact information
Practice address
2962 YOUTH UNLIMITED DR, SOPHIA, NC 27350-8481
(336) 861-9243
Mailing address
PO BOX 485, HIGH POINT, NC 27261-0485
(336) 883-1361
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NC
101YP2500X
Professional Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3410056
—
NC
05
—
5907794
—
NC
05
—
6005364
—
NC
05
—
8300347G
—
NC
05
—
8300347H
—
NC
05
—
8300354G
—
NC
05
—
8300354H
—
NC
Enumeration date
06/10/2013
Last updated
06/10/2013
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