Organization
TRI-COUNTY YOUTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FELIX ARTHUR HERRING (PRESIDENT)
(910) 616-7173
Entity
Organization
Contact information
Practice address
410 E CAVENAUGH ST, WALLACE, NC 28466-1908
(910) 285-6099
(910) 285-6321
Mailing address
PO BOX 692, WALLACE, NC 28466-0692
(910) 285-6099
(910) 285-6321
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-031-041
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603430
—
NC
Enumeration date
11/10/2006
Last updated
01/17/2008
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