NPI 1023171758

Youth Profile INC.

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Greensboro, NC

Practice location

Address: 4010 Coltrain Rd, Greensboro, NC 27455-2632
Phone: (336) 545-1612
Fax: (336) 644-1423
Mailing address: 5683 Greendale CT, Summerfield, NC 27358-9156

Authorised official

Name: Alfred Lee McBride
Title: Asso. Executive Director
Phone: (336) 707-0377

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence MHL-041-204 (NC)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in North Carolina →

Registry record

NPI: 1023171758
Entity type: Organization
NPI issued: 16 Dec 2006
Record last updated: 13 Jun 2008

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.