# CHAPARRAL YOUTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SHEREE L. SAMPSON
- **Other names:** Chaparral Youth Services
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1306908009
- **Legal business name:** SHEREE L. SAMPSON
- **Authorized official:** SHEREE L SAMPSON (LSW/OWNER)
- **Authorized official phone:** (910) 827-1169

## Contact information

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

## Taxonomy

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

## Other

- **Enumeration date:** 12/16/2006
- **Last updated:** 08/13/2026