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Organization
YOUTH DEVELOPMENT CORPORATION OF AMERICA
Active
Organization
YOUTH DEVELOPMENT CORPORATION OF AMERICA
Active
Other names
Caring Family Network
Organization subpart
No
Provider details
NPI number
Authorized official
BRELYN WADDELL (BILLING SPECIALIST SUPERVISOR)
(919) 323-8090
Entity
Organization
Contact information
Practice address
2905 BREEZEWOOD AVE, SUITE 101, FAYETTEVILLE, NC 28303-5503
(910) 223-9927
Mailing address
5611 NC HIGHWAY 55, SUITE 101, DURHAM, NC 27713-4395
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005599
—
NC
05
—
8300368
—
NC
Enumeration date
02/09/2007
Last updated
08/10/2010
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