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Organization
PALMETTO YOUTH AND FAMILY SERVICES
Active
Organization
PALMETTO YOUTH AND FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATASHA RENA' BRANON LPC (CLINICAL DIRECTOR)
(803) 546-0313
Entity
Organization
Contact information
Practice address
16101 WRIGHTS FERRY RD, CHARLOTTE, NC 28278-7635
(803) 546-0313
Mailing address
16101 WRIGHTS FERRY RD, CHARLOTTE, NC 28278-7635
(803) 546-0313
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4993
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC1027
—
SC
Enumeration date
02/09/2011
Last updated
02/09/2011
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