Organization
ALTERNATIVE RESIDENTIAL YOUTH RESOURCES
Active
Other names
Achievement Place
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL L PARRISH MSW QMHP (EXECUTIVE DIRECTOR, OWNER)
(336) 392-0489
Entity
Organization
Contact information
Practice address
2301 STANLEY RD, GREENSBORO, NC 27407-3913
(336) 392-0489
(336) 294-8432
Mailing address
PO BOX 41013, GREENSBORO, NC 27404-1013
(336) 392-0489
(336) 294-8432
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-041-670
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603498
—
NC
Enumeration date
02/06/2007
Last updated
08/22/2020
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