# ALTERNATIVE RESIDENTIAL YOUTH RESOURCES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Achievement Place
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629117262
- **Authorized official:** MR. SAMUEL L PARRISH MSW QMHP (EXECUTIVE DIRECTOR, OWNER)
- **Authorized official phone:** (336) 392-0489

## Contact information

- **Practice address:** 2301 STANLEY RD, GREENSBORO, NC 27407-3913
- **Practice address phone:** (336) 392-0489
- **Practice address fax:** (336) 294-8432
- **Mailing address:** PO BOX 41013, GREENSBORO, NC 27404-1013
- **Mailing address phone:** (336) 392-0489
- **Mailing address fax:** (336) 294-8432

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-041-670 | NC | Yes |

## Other

- **Enumeration date:** 02/06/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6603498 | — | NC |