| Youth Development Corporation Of America | |
|
355 S Madison Blvd Ste C Roxboro NC 27573-5485 | |
| (336) 599-8366 | |
| Not Available |
| Full Name | Youth Development Corporation Of America |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 355 S Madison Blvd Ste C, Roxboro, 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 355 S Madison Blvd Ste C Roxboro NC 27573-5485 Ph: (336) 599-8366 |
| NPI Number | 1386785228 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 08/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386785228 | NPI | - | NPPES |
| 5903807 | Medicaid | NC | |
| 6005837 | Medicaid | NC | |
| 8301081 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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