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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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