Avery Youth Services For Boys, Inc.

NPI 1104153485 - Case Management - 251B00000X

NPI Details
NPI 1104153485
Enumeration Date 11/08/2009
Last Updated 11/08/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name TERRENCE AVERY TERRENCE
Position PRESIDENT
Phone (919) 261-9688
Fax (919) 261-0118
Practice Location
742 MCKNIGHT DR
SUITE 201
KNIGHTDALE NC, 27545-7764, US
Phone (919) 261-9688
Fax (919) 261-0118
Business Location
742 MCKNIGHT DR
SUITE 201
KNIGHTDALE NC, 27545-7764, US
Phone (919) 261-9688
Fax (919) 261-0118
Toxanomy
Taxonomy Code 251B00000X
License State
License Number
Remove 1104153485 NPI Number
 

According to our database, Avery Youth Services For Boys, Inc. NPI is 1104153485, taxonomy code is 251B00000X Avery Youth Services For Boys, Inc. physically located at 742 Mcknight Dr, Knightdale NC, 27545-7764. NPI Number 1033115704 has the healthcare provider type.

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1104153485 NPI number is provided on an as is basis without warranty of any kind. 1104153485 is maintained by the National Plan & Provider Enumeration System. The contents of Avery Youth Services For Boys, Inc. are for informational purposes only.