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General NPI Number Information
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NPI Number | 1831028950
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Entity Type | Organization
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Legal Business Name | YOUTH MATTERS
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Dates
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Enumeration Date | 05/15/2026
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Last Update Date | 05/15/2026
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Provider Practice Location Address
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Address Line | 1607 CECELIA DR
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City | GASTONIA
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State | NC
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Zip | 28054-2923
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Country | US
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Telephone | 980-371-3655
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Fax |
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Provider Business Mailing Address
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Address Line | 1607 CECELIA DR
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City | GASTONIA
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State | NC
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Zip | 28054-2923
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Country | US
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Telephone | 980-371-3655
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | SHARIKA JONINE STROUD
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Credential | LCSWA
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Telephone | 980-371-3655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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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 | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State |
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