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Organization
YOUTH PROFILE, INC.
Active
Organization
YOUTH PROFILE, INC.
Active
Other names
Linfred Place
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALFRED LEE MCBRIDE M.ED. (ASSO. EXECUTIVE DIRECTOR)
(336) 707-0377
Entity
Organization
Contact information
Practice address
3520 DRAWBRIDGE PKWY, APT. D, GREENSBORO, NC 27410-9621
(336) 707-0377
(336) 644-1423
Mailing address
5683 GREENDALE CT, SUMMERFIELD, NC 27358-9156
(336) 707-0377
(336) 644-1423
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-041-637
NC
Other
Enumeration date
12/19/2006
Last updated
06/13/2008
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