Organization
YOUTH TRANSITIONAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE M. DOLPHUS (OWNER / CEO)
(806) 526-3288
Entity
Organization
Contact information
Practice address
4501 W TYVOLA RD, CHARLOTTE, NC 28208-6753
(803) 526-3288
(803) 675-5233
Mailing address
2879 HIGHWAY 160 W, STE 4388, FORT MILL, SC 29708-8581
(803) 526-3288
(803) 675-5233
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CBT036
—
SC
Enumeration date
09/24/2009
Last updated
06/08/2010
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