Organization
YELVERTON'S ENRICHMENT SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKIE SMITH YELVERTON (EXECUTIVE PROGRAM DIRECTOR)
(919) 961-5123
Entity
Organization
Contact information
Practice address
7625 MINE VALLEY RD, RALEIGH, NC 27615-6017
(919) 917-7005
Mailing address
4805 GREEN RD, SUITE 103, RALEIGH, NC 27616-2848
(919) 872-6220
(919) 872-6223
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
MHL-092-927
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-092-927
NC
Other
Enumeration date
07/30/2015
Last updated
09/02/2015
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