Organization
YOUTH UNLIMITED INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RC CLIFFORD PARKER JR. M.A. LPC (EX DIRECTOR)
(336) 883-1361
Entity
Organization
Contact information
Practice address
2780 YOUTH UNLIMITED DR, SOPHIA, NC 27350-8461
(336) 861-7356
Mailing address
PO BOX 485, HIGH POINT, NC 27261-0485
(336) 883-1361
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
076-065
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603468
—
NC
Enumeration date
06/10/2013
Last updated
06/10/2013
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