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Organization

CHAPARRAL YOUTH SERVICES

Active
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Organization

CHAPARRAL YOUTH SERVICES

Active
Parent organization
SHEREE L. SAMPSON
Other names
Chaparral Youth Services
Organization subpart
Yes

Provider details

NPI number
Legal business name
SHEREE L. SAMPSON
Authorized official
SHEREE L SAMPSON (LSW/OWNER)
(910) 827-1169
Entity
Organization

Contact information

Practice address
5973 MCLEOD DR, MAXTON, NC 28364-7211
(910) 827-1169
(910) 593-3577
Mailing address
16 STANLEY ST, PEMBROKE, NC 28372-8540
(910) 827-1169
(910) 593-3577

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
MHL078170
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—

Other

Enumeration date
12/16/2006
Last updated
08/13/2026
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