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Organization
YOUTH ADULT CARE MANAGEMENT, INC.
Active
Organization
YOUTH ADULT CARE MANAGEMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M KIBLER (ADMINISTRATIVE)
(704) 933-3505
Entity
Organization
Contact information
Practice address
1605 OLD EARNHARDT RD, KANNAPOLIS, NC 28083-8025
(704) 933-3505
Mailing address
PO BOX 1013, CONCORD, NC 28026-1013
(704) 933-3505
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301203
—
NC
Enumeration date
07/31/2008
Last updated
07/31/2008
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