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Organization
YOUTH TRAIN VENTURES, INC.
Active
Organization
YOUTH TRAIN VENTURES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER TYLER BA,QP (DIRECTOR OF DAY TREATMENT PROGRAMS)
(336) 227-2379
Entity
Organization
Contact information
Practice address
913 S MAIN ST, BURLINGTON, NC 27215-5756
(336) 227-2379
Mailing address
913 S MAIN ST, BURLINGTON, NC 27215-5756
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL000135
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942489331
—
NC
Enumeration date
03/24/2008
Last updated
03/24/2008
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