Organization
YOUTH VILLAGES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHEILA YVETTE GABLE (MST C OUNSELOR)
(678) 663-9977
Entity
Organization
Contact information
Practice address
100 CAPITOLA DR, DURHAM, NC 27713-4496
(919) 474-6400
Mailing address
100 CAPITOLA DR, DURHAM, NC 27713-4496
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YM0800X
—
NC
Enumeration date
08/21/2012
Last updated
08/21/2012
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