| Youth Transitional Services, Inc. | |
|
4501 W Tyvola Rd Charlotte NC 28208-6753 | |
| (803) 526-3288 | |
| (803) 675-5233 |
| Full Name | Youth Transitional Services, Inc. |
|---|---|
| Speciality | Case Management |
| Location | 4501 W Tyvola Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | Michelle M. Dolphus (OWNER / CEO) |
| Authorized Official Contact | 8065263288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth Transitional Services, Inc. 2879 Highway 160 W Ste 4388 Fort Mill SC 29708-8581 Ph: (803) 526-3288 | Youth Transitional Services, Inc. 4501 W Tyvola Rd Charlotte NC 28208-6753 Ph: (803) 526-3288 |
| NPI Number | 1962736850 |
|---|---|
| Provider Enumeration Date | 09/24/2009 |
| Last Update Date | 06/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962736850 | NPI | - | NPPES |
| CBT036 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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