Organization
YOUTH VILLAGES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON WILLIAMS (MST COUNSELOR)
(704) 649-9203
Entity
Organization
Contact information
Practice address
7900 TRIAD CENTER DR, GREENSBORO, NC 27409-9073
(336) 931-1800
Mailing address
1064 MOUNT KISCO DR, CHARLOTTE, NC 28213-5834
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/31/2010
Last updated
03/31/2010
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