# TEAM SUCCESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Team Success Youth Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831341429
- **Authorized official:** MR. DWAYNE ANTHONY HERBERT BBA, MBA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (704) 668-3573

## Contact information

- **Practice address:** 3393 STARTOWN RD, NEWTON, NC 28658-9216
- **Practice address phone:** (704) 668-3573
- **Mailing address:** 251 N HIGHWAY 16, APT. 14, DENVER, NC 28037-5004
- **Mailing address phone:** (704) 668-3573

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-018-086 | NC | Yes |

## Other

- **Enumeration date:** 10/15/2008
- **Last updated:** 10/15/2008