Organization
SUPPORTED LIVING YOUTH, FAMILY & CHILDREN SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRK ANTHONY HILLIAN (DIRECTOR)
(704) 283-6002
Entity
Organization
Contact information
Practice address
717 WHITE OAKS CIRCLE, MONROE, NC 28112-7014
(704) 283-6002
(704) 225-1582
Mailing address
PO BOX 3398, MONROE, NC 28111-3398
(704) 283-6002
(704) 225-1582
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MHL090141
NC
101Y00000X
Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603459
—
NC
Enumeration date
02/15/2007
Last updated
09/03/2008
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