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Organization
YOUTH VILLAGES
Active
Organization
YOUTH VILLAGES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE LUSTER (MST FAMILY COUNSELOR)
(704) 262-1360
Entity
Organization
Contact information
Practice address
363 CHURCH ST N, 200, CONCORD, NC 28025-4589
(704) 262-1360
Mailing address
363 CHURCH ST N, 200, CONCORD, NC 28025-4589
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/14/2015
Last updated
08/14/2015
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