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Organization

BUFFALO'S CONCERNED FOR YOUTH, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIE A CORNELIUS (OWNER)
(704) 870-9584
Entity
Organization

Contact information

Practice address
806 FOXMEADE CT, SALISBURY, NC 28144-8837
(704) 870-9584
Mailing address
1317 FORESTDALE DR, SALISBURY, NC 28144-2128
(980) 330-3054

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
343900000X
Non-emergency Medical Transport (VAN)

Other

Enumeration date
01/05/2023
Last updated
06/06/2023
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