# YELVERTON'S ENRICHMENT SERVICES, INC.

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

## Provider details

- **NPI number:** 1528444650
- **Authorized official:** VICKIE SMITH YELVERTON (EXECUTIVE PROGRAM DIRECTOR)
- **Authorized official phone:** (919) 961-5123

## Contact information

- **Practice address:** 821 BROOKHANNAH CT, FUQUAY VARINA, NC 27526-5138
- **Practice address phone:** (919) 552-6677
- **Mailing address:** 4805 GREEN RD, SUITE 103, RALEIGH, NC 27616-2848
- **Mailing address phone:** (919) 872-6220
- **Mailing address fax:** (919) 872-6223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | MHL-092-926 | NC | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-092-926 | NC | Yes |

## Other

- **Enumeration date:** 07/30/2015
- **Last updated:** 09/02/2015