Organization
ONE MORE CHANCE YOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONTENEY WRIGHT (DIRECTOR)
(336) 451-5401
Entity
Organization
Contact information
Practice address
322 WALKER AVE, GRAHAM, NC 27253-2426
(336) 226-6449
Mailing address
1018 MOODY ST, GREENSBORO, NC 27401-4213
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
MHL 001-140
NC
Other
Enumeration date
02/09/2007
Last updated
08/22/2020
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