One More Chance Youth

NPI 1023159274 - Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities - 320900000X

NPI Details
NPI 1023159274
Enumeration Date 02/09/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name MONTENEY MONTENEY
Position DIRECTOR
Phone (336) 226-6449
Fax
Practice Location
322 WALKER AVE
GRAHAM NC, 27253-2426, US
Phone (336) 226-6449
Fax
Business Location
1018 MOODY ST
GREENSBORO NC, 27401-4213, US
Phone
Fax
Toxanomy
Taxonomy Code 320900000X
License State North Carolina
License Number MHL 001-140
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According to our database, One More Chance Youth NPI is 1023159274, taxonomy code is 320900000X and license number is MHL 001-140, license state is located at North Carolina. One More Chance Youth physically located at 322 Walker Ave, Graham NC, 27253-2426. NPI Number 1033115704 has the healthcare provider type.

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1023159274 NPI number is provided on an as is basis without warranty of any kind. 1023159274 is maintained by the National Plan & Provider Enumeration System. The contents of One More Chance Youth are for informational purposes only.