Organization
RESTORED YOUTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA RUNETTA PEARSON BS (DIRECTOR)
(336) 302-9451
Entity
Organization
Contact information
Practice address
305 D ST, N WILKESBORO, NC 28659-4345
(335) 990-0688
(336) 990-0687
Mailing address
4223 BENTLEY DR, RANDLEMAN, NC 27317-8306
(336) 302-9451
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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