Organization
AVERY YOUTH SERVICES FOR BOYS, INC.
Active
Organization
AVERY YOUTH SERVICES FOR BOYS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRENCE AVERY SHIELDS (PRESIDENT)
(919) 261-9688
Entity
Organization
Contact information
Practice address
742 MCKNIGHT DR, SUITE 201, KNIGHTDALE, NC 27545-7764
(919) 261-9688
(919) 261-0118
Mailing address
742 MCKNIGHT DR, SUITE 201, KNIGHTDALE, NC 27545-7764
(919) 261-9688
(919) 261-0118
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/08/2009
Last updated
11/08/2009
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