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General NPI Number Information
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NPI Number | 1790656072
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Entity Type | Organization
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Legal Business Name | TRILOGY YOUTH AND FAMILY SERVICES
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Dates
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Enumeration Date | 09/17/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 2015 AYRSLEY TOWN BLVD STE 202
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City | CHARLOTTE
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State | NC
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Zip | 28273-4068
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Country | US
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Telephone | 704-766-9000
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Fax | 704-216-9000
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Provider Business Mailing Address
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Address Line | 2015 AYRSLEY TOWN BLVD STE 202
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City | CHARLOTTE
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State | NC
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Zip | 28273-4068
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Country | US
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Telephone | 704-766-9000
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Fax | 704-216-9000
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Authorized Official
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Title or Position | CEO
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Name | MRS. RAHMANA LATISA MOTT
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Credential |
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Telephone | 704-766-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 385HR2050X
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Taxonomy Name | Respite Care Camp
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License Number |
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License Number State |
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