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General NPI Number Information
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NPI Number | 1447292669
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Entity Type | Organization
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Legal Business Name | YOUTH FOCUS, INC.
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 12/01/2009
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Provider Practice Location Address
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Address Line | 1601 HUFFINE MILL RD
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City | GREENSBORO
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State | NC
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Zip | 27405-5509
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Country | US
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Telephone | 336-375-8333
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Fax | 336-621-0444
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Provider Business Mailing Address
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Address Line | 715 N EUGENE ST
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City | GREENSBORO
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State | NC
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Zip | 27401-1621
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Country | US
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Telephone | 336-274-5909
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Fax | 336-274-3622
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | CHUCK HODIERNE
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Credential |
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Telephone | 336-274-5909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number | MHL 041-224
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License Number State | NC
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