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Organization
YOUTH ENHANCEMENT ALTERNATIVE HOMES LLC
Active
Organization
YOUTH ENHANCEMENT ALTERNATIVE HOMES LLC
Active
Other names
Youth Enhancement
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AUNDREY C JOHNSON B.S.,QDDP (PROGRAM MANAGER)
(910) 815-2667
Entity
Organization
Contact information
Practice address
2169 HARRISON ST, WILMINGTON, NC 28401-6921
(910) 815-2667
Mailing address
PO BOX 2042, WILMINGTON, NC 28402-2042
(910) 815-2667
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408747
—
NC
05
—
8300724
—
NC
05
—
8301678
—
NC
Enumeration date
10/24/2006
Last updated
07/21/2022
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