Organization
COLLINS YOUTH HOMES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERARD COLLINS (PRESIDENT/CEO)
(704) 773-2258
Entity
Organization
Contact information
Practice address
525 N TRYON ST, SUITE 1600, CHARLOTTE, NC 28202-0202
(704) 773-2258
Mailing address
525 N TRYON ST, SUITE 1600, CHARLOTTE, NC 28202-0202
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
567417
NC
Other
Enumeration date
04/08/2010
Last updated
04/15/2010
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