Organization
TARHEEL YOUTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW SCOTT GODDARD (PARTNER)
(252) 341-5860
Entity
Organization
Contact information
Practice address
6543 US 264 E, GREENVILLE, NC 27834-7538
(252) 341-5860
(252) 830-9593
Mailing address
6543 US 264 E, GREENVILLE, NC 27834-7538
(252) 830-9593
(252) 830-9593
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
261QE0002X
Emergency Care Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
03/29/2007
Last updated
02/21/2008
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