Organization
GUILFORD COUNTY YOUTH ACADEMY, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE STATON SCALES (OFFICE MANAGER)
(336) 554-1625
Entity
Organization
Contact information
Practice address
2200 E MARKET ST STE C, GREENSBORO, NC 27401-6444
(336) 554-1625
Mailing address
8 HILLRISE CT, GREENSBORO, NC 27405-9771
(336) 554-1625
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251300000X
Local Education Agency (LEA)
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/10/2021
Last updated
10/18/2021
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