Organization
YABSA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA WATKINS HEARNE (CEO)
(704) 985-1400
Entity
Organization
Contact information
Practice address
1828 CEDAR AVE, ALBEMARLE, NC 28001-4510
(704) 985-1400
(704) 985-1409
Mailing address
PO BOX 2314, ALBEMARLE, NC 28002-2314
(704) 985-1400
(704) 985-1409
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL084063
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603987
—
NC
Enumeration date
01/24/2007
Last updated
08/22/2020
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