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Organization
YEALLC
Active
Organization
YEALLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE MOORE (PRESIDENT)
(704) 819-2857
Entity
Organization
Contact information
Practice address
2324 ROZZELLES FERRY RD, CHARLOTTE, NC 28208-4239
(704) 763-7388
Mailing address
2324 ROZZELLES FERRY RD, CHARLOTTE, NC 28208-4239
(704) 763-7388
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/07/2026
Last updated
08/07/2026
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