Organization
YOUTH UNLIMITED INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. R CLIFFORD PARKER JR. M.A. LPC (EX DIRECTOR)
(336) 883-1361
Entity
Organization
Contact information
Practice address
2872 YOUTH UNLIMITED DR, SOPHIA, NC 27350-8460
(336) 861-1413
(336) 861-9253
Mailing address
PO BOX 485, HIGH POINT, NC 27261-0485
(336) 883-1361
(336) 883-0065
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603220
—
NC
Enumeration date
06/07/2013
Last updated
04/30/2019
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