Organization
YOUTH AND FAMILY RESIDENTIAL TREATMENT CENTER INC.
Active
Organization
YOUTH AND FAMILY RESIDENTIAL TREATMENT CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARBRA BOSEY LCSW, M.ED. PHD. (DIRECTOR)
(910) 829-0443
Entity
Organization
Contact information
Practice address
808 CLIFTWOOD DR, SILER CITY, NC 27344-2302
(919) 742-2626
Mailing address
3406 BOONE TRL, FAYETTEVILLE, NC 28306-2138
(910) 829-0443
(910) 829-0446
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-019-035
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603797
—
NC
Enumeration date
02/07/2007
Last updated
08/22/2020
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