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NPI Code Detail

MEDICARE: UNITED YOUTH CARE SERVICE

MEDICARE: UNITED YOUTH CARE SERVICE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1385HR2055XChild Mental Illness Respite Care

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457673584
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNITED YOUTH CARE SERVICE
Provider Business Mailing Address
First Line : 1207 4TH ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27405-6622
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 200 FISHER AVE
Second Line :
City : HIGH POINT
State : NC
Zip : 27262-2672
Country : US
Telephone Number : 336-370-9232
Fax Number :
Authorized Official
Title or Position : CEO
Name : DONALD A BOOKER
Credential :
Telephone Number : 336-370-9232
Provider Enumeration Date : 02/16/2010
Last Update Date : 02/16/2010

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Directions to “UNITED YOUTH CARE SERVICE ” Practice Location

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