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General NPI Number Information
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NPI Number | 1881825370
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Entity Type | Organization
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Legal Business Name | CAROLINA HOMES FOR YOUTH INC
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Dates
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Enumeration Date | 07/31/2009
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Last Update Date | 09/14/2011
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Provider Practice Location Address
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Address Line | 11 GLENDALE OAKS COURT
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City | GREENSBORO
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State | NC
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Zip | 27406-8221
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Country | US
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Telephone | 336-855-3744
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Fax | 336-274-6692
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Provider Business Mailing Address
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Address Line | PO BOX 16488
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City | GREENSBORO
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State | NC
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Zip | 27406-8221
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Country | US
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Telephone | 336-255-6279
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Fax | 336-274-6692
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MS. LISA ANN MORRISON
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Credential |
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Telephone | 336-255-8279
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 9930909
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License Number State | NC
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Taxonomy #2
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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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