Organization
CATAWBA YOUTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VANESSA EVANS LINEBARGER MSW, ACSW,LCSW (PROGRAM DIRECTOR)
(828) 324-5463
Entity
Organization
Contact information
Practice address
1823 KINCAID CT, HICKORY, NC 28602-5547
(828) 294-0934
(828) 324-7354
Mailing address
PO BOX 2681, HICKORY, NC 28603-2681
(828) 324-5463
(828) 324-7354
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL018069
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603641
—
NC
Enumeration date
02/12/2007
Last updated
08/22/2020
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