Healthcare Provider Details

I. General information

NPI: 1841103264
Provider Name (Legal Business Name): YOUNG BRIDGE SUPPORT SERVICE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2303 W MEADOWVIEW RD STE 158
GREENSBORO NC
27407-3703
US

IV. Provider business mailing address

2303 W MEADOWVIEW RD STE 158
GREENSBORO NC
27407-3703
US

V. Phone/Fax

Practice location:
  • Phone: 336-833-5201
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. RENEE YOUNG
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 336-833-5201