| Youth Enrichment Services Of Lkn, Inc | |
|
635 W Mclelland Ave Mooresville NC 28115-3140 | |
| (704) 660-0973 | |
| Not Available |
| Full Name | Youth Enrichment Services Of Lkn, Inc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 635 W Mclelland Ave, Mooresville, North Carolina |
| Authorized Official Name and Position | Jim Carr (CEO) |
| Authorized Official Contact | 7046600973 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth Enrichment Services Of Lkn, Inc 635 W Mclelland Ave Mooresville NC 28115-3140 Ph: (704) 660-0973 | Youth Enrichment Services Of Lkn, Inc 635 W Mclelland Ave Mooresville NC 28115-3140 Ph: (704) 660-0973 |
| NPI Number | 1154622389 |
|---|---|
| Provider Enumeration Date | 11/04/2010 |
| Last Update Date | 11/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154622389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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