Organization
NEWPATH YOUTH SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICK TAYLOR (OWNER)
(704) 309-3758
Entity
Organization
Contact information
Practice address
174 TOURNAMENT DR SW, CONCORD, NC 28025-5250
(704) 645-8888
(704) 645-8900
Mailing address
421 N LONG ST, P.O.BOX 4084, SALISBURY, NC 28144-4428
(704) 645-8888
(704) 645-8900
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-013-090
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603667
—
NC
Enumeration date
01/18/2007
Last updated
08/23/2022
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