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Organization
YOUTH FOCUS
Active
Organization
YOUTH FOCUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHUCK HODIERNE (EXECUTIVE DIRECTOR)
(336) 274-5909
Entity
Organization
Contact information
Practice address
301 E WASHINGTON ST, SUITE 301, GREENSBORO, NC 27401-2957
(336) 333-6853
Mailing address
715 N EUGENE ST, GREENSBORO, NC 27401-1621
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300360G
—
NC
Enumeration date
01/31/2007
Last updated
08/22/2020
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