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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