Youth Villages
NPI #1053540302 in Greenville, North Carolina
Provider Information
- NPI Number
- 1053540302
- Entity Type
- Organization
- Organization Name
- Youth Villages
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jul 8, 2009
- Last Updated
- Aug 8, 2009
Practice Location
- Address
- 2428 CHARLES BLVD
- City
- Greenville
- State
- North Carolina
- ZIP Code
- 27858-5924
- Phone
- (252) 215-5708
Authorized Official
- Name
- MR. JUSTEN JON GROSS
- Title
- FAMILY COUNSELOR
- Phone
- (216) 403-4177
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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