NPI 1417131210

Youth Image, INC.

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Morganton, NC

Practice location

Address: 107 Kela Dr, Morganton, NC 28655-7868
Phone: (828) 439-1705
Fax: (828) 433-4486
Mailing address: PO Box 914, Morganton, NC 28680-0914

Authorised official

Name: Ralph Edward Collette
Title: President
Phone: (828) 433-4485

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence MHL 012-111 (NC)

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

Registry record

NPI: 1417131210
Entity type: Organization
NPI issued: 28 Dec 2007
Record last updated: 28 Dec 2007

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.