Avery Youth Services for Boys, Inc.
NPI #1104153485 in Knightdale, North Carolina
Provider Information
- NPI Number
- 1104153485
- Entity Type
- Organization
- Organization Name
- Avery Youth Services for Boys, Inc.
- Primary Specialty
- Case Management
- Enumeration Date
- Nov 8, 2009
- Last Updated
- Nov 8, 2009
Practice Location
- Address
- 742 MCKNIGHT DR
- Address 2
- SUITE 201
- City
- Knightdale
- State
- North Carolina
- ZIP Code
- 27545-7764
- Phone
- (919) 261-9688
Authorized Official
- Name
- MR. TERRENCE AVERY SHIELDS
- Title
- PRESIDENT
- Phone
- (919) 261-9688
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Management |
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