Organization · Type 2 NPI
Chaparral Youth Services
Psychiatric/Mental Health Nurse Practitioner · Maxton, NC
NPI number
1306908009
Active
Practice location
5973 Mcleod Dr
Maxton, NC 28364-7211
Fax (910) 593-3577
Mailing address
16 Stanley St
Pembroke, NC 28372-8540
Other practice locations
- 812 Candy Park Rd Ste 7101A, Pembroke, NC 28372-9121 · (910) 775-9076
- 4850 Fayetteville Rd Ste C, Lumberton, NC 28358-2100 · (910) 827-1169
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | MHL078170 (NC) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1306908009
Chaparral Youth Services's National Provider Identifier is 1306908009, issued on Dec 16, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Maxton, NC. The record was last updated on Aug 13, 2026.