Organization
YOUTH FOCUS RTC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHUCK HODIERNE MA (EXECUTIVE DIRECTOR)
(336) 274-5909
Entity
Organization
Contact information
Practice address
1601 HUFFINE MILL RD, GREENSBORO, NC 27405-5509
(336) 375-8333
Mailing address
1601 HUFFINE MILL RD, GREENSBORO, NC 27405-5509
(336) 375-8333
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
C008042
NC
Other
Enumeration date
12/17/2012
Last updated
12/17/2012
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