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Organization

UNITED YOUTH CARE SERVICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DONALD A BOOKER (CEO)
(336) 370-9232
Entity
Organization

Contact information

Practice address
200 FISHER AVE, HIGH POINT, NC 27262-2672
(336) 370-9232
Mailing address
1207 4TH ST, GREENSBORO, NC 27405-6622

Taxonomy

Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3408412
NC
Enumeration date
02/16/2010
Last updated
02/16/2010
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