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Organization
VALLEY YOUTH SUBSTANCE ABUSE CENTER
Active
Organization
VALLEY YOUTH SUBSTANCE ABUSE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHINAH BEST BIOLOGY (BS)
(252) 676-9982
Entity
Organization
Contact information
Practice address
1445 GEORGIA AVE, ROANOKE RAPIDS, NC 27870-4653
(252) 676-9982
Mailing address
804 MELVIN RD, LITTLETON, NC 27850-8787
(252) 676-9982
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA
—
NC
Enumeration date
06/16/2020
Last updated
07/22/2020
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