United Youth Services

NPI 1699086009 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1699086009
Enumeration Date 06/30/2010
Last Updated 06/30/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name DERRICK DERRICK
Position PRESIDENT
Phone (704) 287-2081
Fax
Practice Location
452 LAKESHORE PKWY
SUITE 130
ROCK HILL SC, 29730-4291, US
Phone (704) 287-2081
Fax
Business Location
6210 FALLS LAKE DR
CHARLOTTE NC, 28270-1126, US
Phone (704) 287-2081
Fax
Toxanomy
Taxonomy Code 251S00000X
License State South Carolina
License Number 5065
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According to our database, United Youth Services NPI is 1699086009, taxonomy code is 251S00000X and license number is 5065, license state is located at South Carolina. United Youth Services physically located at 452 Lakeshore Pkwy, Rock Hill SC, 29730-4291. NPI Number 1033115704 has the healthcare provider type.

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1699086009 NPI number is provided on an as is basis without warranty of any kind. 1699086009 is maintained by the National Plan & Provider Enumeration System. The contents of United Youth Services are for informational purposes only.