Organization
YOUTH BUILDERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN EARL HARGROVE (EXECUTIVE DIRECTOR)
(252) 767-8615
Entity
Organization
Contact information
Practice address
2423 MORNINGSIDE DR, BURLINGTON, NC 27217-3147
(336) 261-5920
(919) 732-5515
Mailing address
PO BOX 247, HILLSBOROUGH, NC 27278-0247
(336) 261-5920
(919) 732-5515
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-001-150
NC
Other
Enumeration date
07/09/2007
Last updated
07/09/2007
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