| Youth Development Corporation Of America | |
|
300 W Tryon St Box 5 Hillsborough NC 27278-2438 | |
| (919) 732-1150 | |
| Not Available |
| Full Name | Youth Development Corporation Of America |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 300 W Tryon St, Hillsborough, 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 6015 Fayetteville Rd Suite 211 Durham NC 27713-6254 Ph: () - | Youth Development Corporation Of America 300 W Tryon St Box 5 Hillsborough NC 27278-2438 Ph: (919) 732-1150 |
| NPI Number | 1225179021 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 08/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225179021 | NPI | - | NPPES |
| 5903414 | Medicaid | NC | |
| 8300950 | Medicaid | NC | |
| 6005876 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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