Organization
JUST IN TIME YOUTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LISA LYNETTE BROWN CEO (CHIEF EXECUTIVE OFFICER)
(336) 437-2350
Entity
Organization
Contact information
Practice address
111 DOGWOOD DR, BURLINGTON, NC 27215-5303
(336) 437-2350
(336) 270-4578
Mailing address
PO BOX 2162, BURLINGTON, NC 27216-2162
(336) 437-2350
(336) 578-3159
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
MHL-001-149
NC
Other
Enumeration date
06/06/2007
Last updated
05/11/2021
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