Organization
UNITED YOUTH CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD BOOKER (CEO)
(336) 370-9232
Entity
Organization
Contact information
Practice address
1207 4TH STREET, GREENSBORO, NC 27405
(336) 370-9232
Mailing address
1207 4TH ST, GREENSBORO, NC 27405-6622
(336) 370-9232
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207KA0200X
Allergy Physician
—
—
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408412
—
NC
05
—
60 06024
—
NC
05
—
6006013
—
NC
05
—
6006025
—
NC
05
—
8300016
—
NC
05
—
8300016B
—
NC
05
—
8300016F
—
NC
05
—
8300016G
—
NC
05
—
8300016H
—
NC
05
—
8300016K
—
NC
05
—
8300934
—
NC
05
—
8300934B
—
NC
05
—
8300934G
—
NC
05
—
8300934H
—
NC
05
—
8300941
—
NC
05
—
8300941B
—
NC
05
—
8300941G
—
NC
05
—
8300941H
—
NC
Enumeration date
06/03/2006
Last updated
06/22/2018
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