Organization
LIVING KINGDOM YOUTH DEVELOPMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY FLEETWOOD (OWNER)
(919) 752-0800
Entity
Organization
Contact information
Practice address
942 WIDE WATERS PKWY, KNIGHTDALE, NC 27545-7322
(919) 752-0800
Mailing address
942 WIDE WATERS PKWY, KNIGHTDALE, NC 27545-7322
(919) 752-0800
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/13/2010
Last updated
04/13/2010
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