Organization
AKC YOUTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CALVIN LEE TAYLOR BA,,QP (OWNER/OPERATOR)
(704) 994-9411
Entity
Organization
Contact information
Practice address
1205 CAMDEN RD, WADESBORO, NC 28170
(704) 994-9411
(704) 994-3588
Mailing address
201 W MORGAN ST, WADESBORO, NC 28170
(704) 994-9411
(704) 994-3588
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
305R00000X
Preferred Provider Organization
—
NC
Other
Enumeration date
08/09/2007
Last updated
08/09/2007
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