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Organization
T & A YOUNG L.L.C
Active
Organization
T & A YOUNG L.L.C
Active
Other names
Young's Behavioral Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TAVARUS DEWAYNE YOUNG (MEMBER/OWNER)
(910) 261-9021
Entity
Organization
Contact information
Practice address
4707 JELYNN ST, RALEIGH, NC 27616-7402
(910) 261-9021
Mailing address
4707 JELYNN ST, RALEIGH, NC 27616-7402
(910) 261-9021
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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