| Youth Development Corporation Of America | |
| 1105 E Cardinal St Siler City NC 27344-3300 | |
| (919) 742-5612 | |
| Not Available | 
| Full Name | Youth Development Corporation Of America | 
|---|---|
| Speciality | Community/behavioral Health | 
| Location | 1105 E Cardinal St, Siler City, 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 1105 E Cardinal St Siler City NC 27344-3300 Ph: (919) 742-5612 | 
| NPI Number | 1235270026 | 
|---|---|
| Provider Enumeration Date | 02/12/2007 | 
| Last Update Date | 08/10/2010 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1235270026 | NPI | - | NPPES | 
| 8300949 | Medicaid | NC | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary | 
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