The Youth Academy, Inc.

NPI 1073562211 - Counselor - 101YP2500X

NPI Details
NPI 1073562211
Enumeration Date 05/07/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DAPHNE WILSON DAPHNE
Position EXECUTIVE DIRECTOR / LCS
Phone (843) 382-5927
Fax (843) 382-5826
Practice Location
237 LELA HARRISON RD
KINGSTREE SC, 29556-6771, US
Phone (843) 382-5927
Fax (843) 382-5826
Business Location
237 LELA HARRISON RD
PO BOX 174
KINGSTREE SC, 29556-6771, US
Phone (843) 382-5927
Fax (843) 382-5826
Toxanomy
Taxonomy Code 101YP2500X
License State South Carolina
License Number SR-0008158001-CCI
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According to our database, The Youth Academy, Inc. NPI is 1073562211, taxonomy code is 101YP2500X and license number is SR-0008158001-CCI, license state is located at South Carolina. The Youth Academy, Inc. physically located at 237 Lela Harrison Rd, Kingstree SC, 29556-6771. NPI Number 1033115704 has the healthcare provider type.

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1073562211 NPI number is provided on an as is basis without warranty of any kind. 1073562211 is maintained by the National Plan & Provider Enumeration System. The contents of The Youth Academy, Inc. are for informational purposes only.