Organization
YOUTH HOMES, INC
Active
Other names
Second Wind Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK H CRAWFORD JR. (EXECUTIVE DIRECTOR)
(704) 334-9955
Entity
Organization
Contact information
Practice address
601 E 5TH ST, SUITE 330, CHARLOTTE, NC 28202-3031
(704) 334-9955
(704) 375-7497
Mailing address
601 E 5TH ST, SUITE 330, CHARLOTTE, NC 28202-3031
(704) 334-9955
(704) 375-7497
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-060-061
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603959
—
NC
Enumeration date
01/10/2008
Last updated
01/10/2008
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