Organization
CENTER FOR YOUTH DEVELOPMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA MARIA TOOLE-ANTHONY (CO-OWNER)
(919) 598-1515
Entity
Organization
Contact information
Practice address
2515 NC HWY 55, SUITE A & D, DURHAM, NC 27713-1374
(919) 598-1515
(919) 598-9725
Mailing address
6409 FAYETTEVILLE RD # 120-368, DURHAM, NC 27713-6297
(919) 598-1515
(919) 598-9725
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL-032-447
NC
Other
Enumeration date
03/22/2010
Last updated
03/22/2010
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