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Organization
YOUTH EXTENSIONS INC.
Active
Organization
YOUTH EXTENSIONS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH MCCAULEY (CEO)
(919) 246-5664
Entity
Organization
Contact information
Practice address
1804 MARTIN LUTHER KING PKWY STE 112, DURHAM, NC 27707-3587
(919) 246-5664
Mailing address
1303 JACKSON ST, DURHAM, NC 27701-3046
(919) 246-5664
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/19/2013
Last updated
07/25/2022
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