Organization
YOUTH TRAIN VENTURES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS WENDY RENEE JONES (PROGRAM DIRECTOR)
(336) 222-8522
Entity
Organization
Contact information
Practice address
3309B NORTH CAROLINA HIGHWAY 49 NORTH, BURLINGTON, NC 27217
(336) 222-8522
(336) 222-8533
Mailing address
909A SOUTH MAIN STREET, BURLINGTON, NC 27215
(336) 222-8522
(336) 222-8533
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-001-100
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603321
—
NC
Enumeration date
11/01/2007
Last updated
11/01/2007
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