| Youth Development Corporation Of America | |
|
1214 Vaughn Rd Lower Level Burlington NC 27217-2863 | |
| (336) 227-5050 | |
| Not Available |
| Full Name | Youth Development Corporation Of America |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1214 Vaughn Rd, Burlington, North Carolina |
| Authorized Official Name and Position | Brelyn Waddell (BILLING SPECIALIST SUPERVISOR) |
| Authorized Official Contact | 9193238090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth Development Corporation Of America 5611 Nc Highway 55 Suite 101 Durham NC 27713-4395 Ph: () - | Youth Development Corporation Of America 1214 Vaughn Rd Lower Level Burlington NC 27217-2863 Ph: (336) 227-5050 |
| NPI Number | 1497896617 |
|---|---|
| Provider Enumeration Date | 02/09/2007 |
| Last Update Date | 08/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497896617 | NPI | - | NPPES |
| 6005704 | Medicaid | NC | |
| 8300205 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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