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Youth Profile Inc.
Emotionally Disturbed Childrens' Residential Treatment Facility in Greensboro, North Carolina
NPI 1023171758

Youth Profile Inc. is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Summerfield, NC. Youth Profile Inc. practices in Greensboro, NC. The NPI Number for Youth Profile Inc. is 1023171758 and holds a License No. MHL-041-204 (North Carolina).

The current practice location address for Youth Profile Inc. is 4010 Coltrain Rd, Greensboro, NC and can be reached out via phone at 336-545-1612 and via fax at 336-644-1423.

Location: 4010 Coltrain Rd, Greensboro, NC, 27358-9156
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023171758
Provider Name
Youth Profile Inc.
Credential
Provider Entity Type
Organization
Address
4010 Coltrain Rd, Greensboro, NC, 27358-9156
Phone Number
336-545-1612
Fax Number
336-644-1423
Provider Enumeration Date
12/16/2006
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
6603100 05 NC
institution
Provider Business Practice Location Address Details
Address
4010 Coltrain Rd
City
Greensboro
State
North Carolina
Zip
27455-2632
Phone Number
336-545-1612
Fax Number
336-644-1423
person
Provider Business Mailing Address Details
Address
4010 Coltrain Rd
City
Greensboro
State
North Carolina
Zip
27455-2632
Phone Number
336-545-1612
Fax Number
336-644-1423
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
MHL-041-204 (North Carolina)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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