Organization
GUILFORD YOUTH INITIATIVE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J GRAHAM REAVES PH.D.,CCAS,CCS (PRESIDENT)
(336) 884-8840
Entity
Organization
Contact information
Practice address
155 NORTHPOINT AVE, STE 101, HIGH POINT, NC 27262-7738
(336) 884-8840
(336) 884-8842
Mailing address
155 NORTHPOINT AVE, STE 101, HIGH POINT, NC 27262-7738
(336) 884-8840
(336) 884-8842
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MHL-041-737
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005973
—
NC
05
—
6110562
—
NC
05
—
6111908
—
NC
Enumeration date
12/28/2006
Last updated
08/22/2020
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