# REYNOLDS YOUTH SERVICES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1891981288
- **Authorized official:** PHILLIP E REYNOLDS (CEO)
- **Authorized official phone:** (828) 247-4856

## Contact information

- **Practice address:** 6656 S NC HWY 9, COLUMBUS, NC 28722-8615
- **Practice address phone:** (828) 247-4856
- **Practice address fax:** (828) 247-4857
- **Mailing address:** 331 S BROADWAY ST, FOREST CITY, NC 28043-3648
- **Mailing address phone:** (828) 247-4856
- **Mailing address fax:** (828) 247-4857

## Taxonomy

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

## Other

- **Enumeration date:** 09/19/2007
- **Last updated:** 09/19/2007
