# YABSA INC.

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

## Provider details

- **NPI number:** 1780738096
- **Authorized official:** MRS. TERESA WATKINS HEARNE (CEO)
- **Authorized official phone:** (704) 985-1400

## Contact information

- **Practice address:** 330 N 2ND ST, ALBEMARLE, NC 28001-3909
- **Practice address phone:** (704) 985-1400
- **Practice address fax:** (704) 985-1409
- **Mailing address:** PO BOX 2314, ALBEMARLE, NC 28002-2314
- **Mailing address phone:** (704) 985-1400
- **Mailing address fax:** (704) 985-1408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL062016 | NC | Yes |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL084063 | NC | — |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6603721 | — | NC |
| 05 | — | 6603987 | — | NC |