Organization
100 REAL ARTS YOUTH CORPS
Active
Other names
100 Real Arts Youth Corps
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAURICE YOUNG (EXECUTIVE PRESIDENT/CEO)
(704) 726-5876
Entity
Organization
Contact information
Practice address
331 E MAIN ST STE 200, ROCK HILL, SC 29730-5384
(704) 726-5876
Mailing address
331 E MAIN ST STE 200, ROCK HILL, SC 29730-5384
(704) 726-5876
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245750041
—
SC
Enumeration date
02/18/2021
Last updated
07/01/2021
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