Organization
BROOKS & ASSOCIATES YOUTH SERVICES, LLC
Active
Other names
B&A Youth Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA BROOKS (EXECUTIVE DIRECTOR)
(910) 755-2010
Entity
Organization
Contact information
Practice address
4450 MAIN ST, SHALLOTTE, NC 28470-4450
(910) 755-2010
(910) 755-2422
Mailing address
4450 MAIN ST, SHALLOTTE, NC 28470-4450
(910) 755-2010
(910) 755-2422
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301814
—
NC
Enumeration date
03/11/2009
Last updated
03/11/2009
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