Organization
YOUTH CARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID WILLIAM COULTER (DIRECTOR OWNER)
(704) 732-9699
Entity
Organization
Contact information
Practice address
1101 E PINE ST, LINCOLNTON, NC 28092-3531
(704) 734-2969
(704) 732-9967
Mailing address
PO BOX 1131, LINCOLNTON, NC 28093-1131
(704) 732-9699
(704) 732-9967
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-055-077
NC
Other
Enumeration date
02/05/2007
Last updated
08/22/2020
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