# YOUTH OPPORTUNITIES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** KMS Day Treatment
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841355930
- **Authorized official:** MS. ASHLEY CONRAD (PRESIDENT & CEO)
- **Authorized official phone:** (336) 724-1412

## Contact information

- **Practice address:** 110 BROWN ROAD, KERNERSVILLE, NC 27284-2305
- **Practice address phone:** (336) 724-1412
- **Practice address fax:** (336) 724-1464
- **Mailing address:** 7670 NORTHPOINT CT., WINSTON-SALEM, NC 27106-3336
- **Mailing address phone:** (336) 724-1412
- **Mailing address fax:** (336) 724-1464

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/27/2006
- **Last updated:** 12/11/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8301640 | — | NC |
| 05 | — | 8301640R | — | NC |