Organization · Type 2 NPI

Youth Profile, Inc.

Emotionally Disturbed Childrens' Residential Treatment Facility · Greensboro, NC

NPI number 1184787269 Active

Practice location

3520 Drawbridge Pkwy, Apt. D
Greensboro, NC 27410-9621

Call (336) 707-0377 Map

Fax (336) 644-1423

Mailing address

5683 Greendale Ct
Summerfield, NC 27358-9156

Specialties and licenses

Taxonomy	Code	License
Emotionally Disturbed Childrens' Residential Treatment Facility Primary	322D00000X	MHL-041-637 (NC)

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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About NPI 1184787269

Youth Profile, Inc.'s National Provider Identifier is 1184787269, issued on Dec 19, 2006. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Greensboro, NC. The record was last updated on Jun 13, 2008.