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Organization
YOUTH FOCUS
Active
Organization
YOUTH FOCUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHUCK HODIERNE (EXECUTIVE DIRECTOR)
(336) 274-5909
Entity
Organization
Contact information
Practice address
713 N CENTENNIAL ST, HIGH POINT, NC 27262-4215
(336) 882-1662
(336) 274-3622
Mailing address
715 N EUGENE ST, GREENSBORO, NC 27401-1621
(336) 274-5909
(336) 274-3622
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
F03049
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F03049
STATE DSS
NC
Enumeration date
05/27/2010
Last updated
05/27/2010
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