Healthcare Provider Details

I. General information

NPI: 1962416305
Provider Name (Legal Business Name): YOUTH EMPOWERMENT OF JOHNSTON COUNTY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

607 N WEBB ST
SELMA NC
27576-2659
US

IV. Provider business mailing address

607 N WEBB ST
SELMA NC
27576-2659
US

V. Phone/Fax

Practice location:
  • Phone: 919-965-6940
  • Fax: 919-975-0339
Mailing address:
  • Phone: 919-965-6940
  • Fax: 919-975-0339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347B00000X
TaxonomyBus
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: BEVERLY RENE' ROWLAND
Title or Position: CEO
Credential:
Phone: 919-965-6940