Youthful Image Inc

NPI 1457404709 - Counselor - 101YM0800X

NPI Details
NPI 1457404709
Enumeration Date 01/19/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name BRIAN LAMONT BRIAN
Position CEO
Phone (336) 691-5748
Fax
Practice Location
912 ASHE ST
GREENSBORO NC, 27406-1204, US
Phone (336) 691-5748
Fax
Business Location
853 BLAZINGWOOD DR
GREENSBORO NC, 27406-8228, US
Phone (336) 209-5122
Fax (336) 638-9400
Toxanomy
Taxonomy Code 101YM0800X
License State North Carolina
License Number 041746
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According to our database, Youthful Image Inc NPI is 1457404709, taxonomy code is 101YM0800X and license number is 041746, license state is located at North Carolina. Youthful Image Inc physically located at 912 Ashe St, Greensboro NC, 27406-1204. NPI Number 1033115704 has the healthcare provider type.

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1457404709 NPI number is provided on an as is basis without warranty of any kind. 1457404709 is maintained by the National Plan & Provider Enumeration System. The contents of Youthful Image Inc are for informational purposes only.