Organization
YOUTHVILLE, USA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICTOR L. BROOKS SR. (PRESIDENT)
(919) 865-2680
Entity
Organization
Contact information
Practice address
7208 FALLS OF NEUSE RD, RALEIGH, NC 27615-3244
(919) 865-2680
(919) 865-2681
Mailing address
PO BOX 97216, RALEIGH, NC 27624-7216
(919) 865-2680
(919) 865-2681
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
NC
Other
Enumeration date
12/20/2006
Last updated
08/22/2020
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