# BUFFALO'S CONCERNED FOR YOUTH, INC.

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

## Provider details

- **NPI number:** 1639883564
- **Authorized official:** MR. WILLIE A CORNELIUS (OWNER)
- **Authorized official phone:** (704) 870-9584

## Contact information

- **Practice address:** 806 FOXMEADE CT, SALISBURY, NC 28144-8837
- **Practice address phone:** (704) 870-9584
- **Mailing address:** 1317 FORESTDALE DR, SALISBURY, NC 28144-2128
- **Mailing address phone:** (980) 330-3054

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | — | — | — |

## Other

- **Enumeration date:** 01/05/2023
- **Last updated:** 06/06/2023