Organization
LIVING AND LEARNING YOUTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISAAC BLOUNT (CONSULTING)
(252) 481-2282
Entity
Organization
Contact information
Practice address
1486 DR MARTIN LUTHER KING JR BLVD, WARRENTON, NC 27589-9169
(252) 481-2282
Mailing address
1486 DR MARTIN LUTHER KING JR BLVD, WARRENTON, NC 27589-9169
(252) 481-2282
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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