# STOUT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** T.B Youth Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629395934
- **Authorized official:** MRS. STEPHANIE CARSON (PRESIDENT)
- **Authorized official phone:** (704) 482-0901

## Contact information

- **Practice address:** 605 E GROVER ST, SHELBY, NC 28150-4033
- **Practice address phone:** (704) 297-2601
- **Practice address fax:** (704) 482-2081
- **Mailing address:** 921 N LAFAYETTE ST, SHELBY, NC 28150-3832
- **Mailing address phone:** (704) 482-0901
- **Mailing address fax:** (704) 482-2081

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL \# 023-043 | NC | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL \# 023-097 | NC | Yes |

## Other

- **Enumeration date:** 04/26/2010
- **Last updated:** 04/26/2010