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Organization

YOUTH AND FAMILY INTERVENTION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ALLAN BERNARD HARRIS SR. MED/ EDS (CO- OWNER)
(252) 337-9960
Entity
Organization

Contact information

Practice address
905 HALSTEAD BLVD, SUITE # 5 - 6, ELIZABETH CITY, NC 27909-6986
(252) 337-9960
(252) 337-9963
Mailing address
905 HALSTEAD BLVD, SUITE # 5 - 6, ELIZABETH CITY, NC 27909-6986
(252) 337-9960
(252) 337-9963

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
06/23/2009
Last updated
06/23/2009
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