Organization
SHEREE L. SAMPSON
Active
Parent organization
SHEREE L. SAMPSON
Other names
Chaparral Youth Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHEREE L. SAMPSON
Authorized official
SHEREE LOCKLEAR SAMPSON (OWNER)
(910) 827-1169
Entity
Organization
Contact information
Practice address
16 STANLEY ST, PEMBROKE, NC 28372-8540
(910) 827-1169
(910) 593-3577
Mailing address
16 STANLEY ST, PEMBROKE, NC 28372-8540
(910) 827-1169
(910) 593-3577
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL078170
NC
Other
Enumeration date
12/16/2006
Last updated
11/10/2023
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