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Organization
YOUTH SOLUTIONS NETWORK LLC
Active
Organization
YOUTH SOLUTIONS NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT TATE (CHIEF EXECUTIVE OFFICER)
(980) 337-9125
Entity
Organization
Contact information
Practice address
1801 N TRYON ST, SUITE #204, CHARLOTTE, NC 28206-2704
(980) 337-9125
Mailing address
1801 N TRYON ST, SUITE #204, CHARLOTTE, NC 28206-2704
(980) 337-9125
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16294254
—
NC
Enumeration date
05/22/2016
Last updated
06/18/2016
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