Organization
YOUTH OPPORTUNITY CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD ROWRAY (CHIEF EXECUTIVE OFFICER)
(765) 289-5437
Entity
Organization
Contact information
Practice address
3700 W KILGORE AVE, MUNCIE, IN 47304-4810
(765) 289-5437
Mailing address
3700 W KILGORE AVE, MUNCIE, IN 47304-4810
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200975160A
—
IN
Enumeration date
03/03/2010
Last updated
09/07/2010
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