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Organization

YELVERTON'S ENRICHMENT SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VICKIE SMITH YELVERTON (EXECUTIVE PROGRAM DIRECTOR)
(919) 961-5123
Entity
Organization

Contact information

Practice address
821 BROOKHANNAH CT, FUQUAY VARINA, NC 27526-5138
(919) 552-6677
Mailing address
4805 GREEN RD, SUITE 103, RALEIGH, NC 27616-2848
(919) 872-6220
(919) 872-6223

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
MHL-092-926
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-092-926
NC

Other

Enumeration date
07/30/2015
Last updated
09/02/2015
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