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Organization
YOUTH & FAMILY ALLIANCE, INC.
Active
Organization
YOUTH & FAMILY ALLIANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY Y MCDONALD PHD (PRESIDENT/CEO)
(910) 251-5858
Entity
Organization
Contact information
Practice address
2600 NEW VILLAGE WAY, WILMINGTON, NC 28405-7426
(910) 251-5858
(910) 251-5893
Mailing address
2600 NEW VILLAGE WAY, WILMINGTON, NC 28405-7426
(910) 251-5858
(910) 251-5893
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
HC4195
NC
251S00000X
Community/Behavioral Health Agency
Primary
MH071-029
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6008126
—
NC
05
—
6602133
—
NC
Enumeration date
10/24/2011
Last updated
10/24/2011
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