Whalio Doctors

NPI 1609926575

Impact Youth and Family Services, INC.

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Willow Spring, NC

Practice location

Address
109 Deer Farm Ln, Willow Spring, NC 27592-8505
Phone
(919) 639-3625
Fax
(888) 470-3543
Mailing address
PO Box 157, Willow Spring, NC 27592-0157

Authorised official

Name
Larry Barther
Title
Ceo
Phone
(919) 639-3625

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X Licence MHL-051-146 (NC)

Registry record

NPI
1609926575
Entity type
Organization
NPI issued
11 Jan 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.