# YOUTHVILLE, USA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871657445
- **Authorized official:** MR. VICTOR L. BROOKS SR. (PRESIDENT)
- **Authorized official phone:** (919) 865-2680

## Contact information

- **Practice address:** 7208 FALLS OF NEUSE RD, RALEIGH, NC 27615-3244
- **Practice address phone:** (919) 865-2680
- **Practice address fax:** (919) 865-2681
- **Mailing address:** PO BOX 97216, RALEIGH, NC 27624-7216
- **Mailing address phone:** (919) 865-2680
- **Mailing address fax:** (919) 865-2681

## Taxonomy

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

## Other

- **Enumeration date:** 12/20/2006
- **Last updated:** 08/22/2020