Organization
SUPPORTED LIVING YOUTH FAMILY & CHILDREN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRK ANTHONY HILLIAN (DIRECTOR)
(704) 283-6002
Entity
Organization
Contact information
Practice address
100 SERENITY HILLS DRIVE, MONROE, NC 28110-8610
(704) 283-6002
(704) 225-1582
Mailing address
PO BOX 3398, MONROE, NC 28111-3398
(704) 283-6002
(704) 225-1582
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MHL090120
NC
Other
Enumeration date
02/15/2007
Last updated
08/01/2008
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