Organization
CHAPARRAL YOUTH SERVICES II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEREE L. SAMPSON (OWNER/MANAGER)
(910) 827-1169
Entity
Organization
Contact information
Practice address
68 THREE HUNTS DR STE B, PEMBROKE, NC 28372-7319
(910) 759-7748
(910) 759-7727
Mailing address
68 THREE HUNTS DR STE B, PEMBROKE, NC 28372-7319
(910) 759-7748
(910) 759-7727
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3855
NC
Other
Enumeration date
01/15/2009
Last updated
10/03/2016
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