# IMPACT YOUTH AND FAMILY SERVICES, INC.

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

## Provider details

- **NPI number:** 1609926575
- **Authorized official:** LARRY BARTHER (CEO)
- **Authorized official phone:** (919) 639-3625

## Contact information

- **Practice address:** 109 DEER FARM LN, WILLOW SPRING, NC 27592-8505
- **Practice address phone:** (919) 639-3625
- **Practice address fax:** (888) 470-3543
- **Mailing address:** PO BOX 157, WILLOW SPRING, NC 27592-0157
- **Mailing address phone:** (919) 639-3625
- **Mailing address fax:** (888) 470-3543

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL-051-146 | NC | Yes |

## Other

- **Enumeration date:** 01/11/2007
- **Last updated:** 08/22/2020