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Organization

KMY INTERNATIONAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KENYA YOUNG (PRESIDENT)
(919) 673-1361
Entity
Organization

Contact information

Practice address
1499 LYNWOOD DR, SUITE# C, LANCASTER, SC 29720-0963
(919) 673-1361
Mailing address
PO BOX 61237, RALEIGH, NC 27661-1237
(919) 673-1361

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP6991
SC
Enumeration date
09/26/2015
Last updated
09/09/2016
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