Organization
MORE THAN CONQUERORS YOUTH CENTER INC.
Active
Other names
More Than Conquerors
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATT MAYES JR. (PRESIDENT/ SUPERVISED LIVING MANAGE)
(919) 575-4785
Entity
Organization
Contact information
Practice address
408 E E ST, BUTNER, NC 27509-2037
(919) 575-0746
(919) 575-0748
Mailing address
408 E E ST, BUTNER, NC 27509-2037
(919) 575-0746
(919) 575-0748
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-039-036
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418086
—
NC
Enumeration date
09/02/2006
Last updated
08/22/2020
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