Whalio Doctors

NPI 1013051176

Successful Youth Unlimited, INC

Organisation Mental Illness Community Based Residential Treatment Facility High Point, NC

Practice location

Address
134 Manor Dr, High Point, NC 27260-2620
Phone
(336) 883-7119
Fax
(336) 883-7129
Mailing address
1001 Pineland St D, Greensboro, NC 27407-2278

Authorised official

Name
Renee Grant
Title
Executive Director
Phone
(910) 489-1303

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X Licence 041-787 (NC)

Registry record

NPI
1013051176
Entity type
Organization
NPI issued
20 Feb 2007
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.