Organization
YOUTH FOCUS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHUCK HODIERNE (EXECUTIVE DIRECTOR)
(336) 274-5909
Entity
Organization
Contact information
Practice address
1601 HUFFINE MILL RD, GREENSBORO, NC 27405-5509
(336) 375-8333
(336) 621-0444
Mailing address
715 N EUGENE ST, GREENSBORO, NC 27401-1621
(336) 274-5909
(336) 274-3622
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
MHL 041-224
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3404504
—
NC
Enumeration date
06/12/2006
Last updated
12/01/2009
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