# YOUTH CARE CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336288612
- **Authorized official:** MR. DAVID WILLIAM COULTER (DIRECTOR OWNER)
- **Authorized official phone:** (704) 732-9699

## Contact information

- **Practice address:** 1101 E PINE ST, LINCOLNTON, NC 28092-3531
- **Practice address phone:** (704) 734-2969
- **Practice address fax:** (704) 732-9967
- **Mailing address:** PO BOX 1131, LINCOLNTON, NC 28093-1131
- **Mailing address phone:** (704) 732-9699
- **Mailing address fax:** (704) 732-9967

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-055-077 | NC | Yes |

## Other

- **Enumeration date:** 02/05/2007
- **Last updated:** 08/22/2020