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Organization
YOUTH OPPORTUNITIES, INC.
Active
Organization
YOUTH OPPORTUNITIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MANUEL MARIANO GOMEZ JR. M.A. (DIRECTOR OF FINANCE & BUSINESS)
(336) 724-1412
Entity
Organization
Contact information
Practice address
1401 W CLEMMONSVILLE RD, WINSTON SALEM, NC 27127-5915
(336) 724-1412
(336) 724-1464
Mailing address
206 N. SPRUCE ST., SUITE 3, WINSTON SALEM, NC 27101-2736
(336) 724-1412
(336) 724-1464
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL-034-214
NC
Other
Enumeration date
03/30/2009
Last updated
03/30/2009
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