# CATAWBA YOUTH SERVICES, INC

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

## Provider details

- **NPI number:** 1962543868
- **Authorized official:** MRS. VANESSA EVANS LINEBARGER MSW, ACSW,LCSW (PROGRAM DIRECTOR)
- **Authorized official phone:** (828) 324-5463

## Contact information

- **Practice address:** 1823 KINCAID CT, HICKORY, NC 28602-5547
- **Practice address phone:** (828) 294-0934
- **Practice address fax:** (828) 324-7354
- **Mailing address:** PO BOX 2681, HICKORY, NC 28603-2681
- **Mailing address phone:** (828) 324-5463
- **Mailing address fax:** (828) 324-7354

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL018069 | NC | Yes |

## Other

- **Enumeration date:** 02/12/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6603641 | — | NC |