Organization
SUCCESSFUL YOUTH UNLIMITED, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RENEE GRANT (EXECUTIVE DIRECTOR)
(910) 489-1303
Entity
Organization
Contact information
Practice address
134 MANOR DR, HIGH POINT, NC 27260-2620
(336) 883-7119
(336) 883-7129
Mailing address
1001 PINELAND ST, D, GREENSBORO, NC 27407-2278
(336) 854-0621
(336) 883-7129
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
041-787
NC
Other
Enumeration date
02/20/2007
Last updated
08/22/2020
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