institution
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. You can also correspond with Youth Profile Inc. through the mailing address at 5683 GREENDALE CT, SUMMERFIELD, NC - 27358-9156 (mailing address contact number: 336-707-0377).

Location: 4010 Coltrain Rd, Greensboro, NC, 27358-9156
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
03/08/2024
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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
State
Zip
27455-2632
Phone Number
336-545-1612
Fax Number
336-644-1423
person
Provider Business Mailing Address Details
Address
4010 Coltrain Rd
City
State
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
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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