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Organization
YOUTH ENRICHMENT SERVICES OF LKN, INC.
Active
Organization
YOUTH ENRICHMENT SERVICES OF LKN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM CARR (CEO)
(704) 660-0973
Entity
Organization
Contact information
Practice address
635 W MCLELLAND AVE, MOORESVILLE, NC 28115-3140
(704) 660-0973
(704) 663-6692
Mailing address
635 W MCLELLAND AVE, MOORESVILLE, NC 28115-3140
(704) 660-0973
(704) 663-6692
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
5153144
NC
Other
Enumeration date
04/20/2007
Last updated
08/22/2007
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