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Organization
YOUTH OPPORTUNITIES INCORPORATED
Active
Organization
YOUTH OPPORTUNITIES INCORPORATED
Active
Other names
Griffith Middle Day Tx
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ASHLEY CONRAD (PRESIDENT & CEO)
(336) 724-1412
Entity
Organization
Contact information
Practice address
1401 CLEMMONSVILLE ROAD, WINSTON-SALEM, NC 27127-5915
(336) 724-1412
(336) 724-1464
Mailing address
7670 N POINT CT, WINSTON SALEM, NC 27106-3336
(336) 724-1412
(336) 724-1464
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MHL-034-214
NC
251S00000X
Community/Behavioral Health Agency
Primary
MHL-034-214
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8302570
—
NC
Enumeration date
04/24/2007
Last updated
12/17/2015
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