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Contact Information

YOUTH EHANCEMENT ALTERNATIVE HOMES,LLC
2169 HARRISON ST
WILMINGTON, NC28401
 Phone: 910-815-2667
 Fax: 910-815-2668
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for YOUTH EHANCEMENT ALTERNATIVE HOMES,LLC

NPI # 1679696702
LBN Legal business name YOUTH EHANCEMENT ALTERNATIVE HOMES,LLC
Authorized official AUNDREY JOHNSON - (PROGRAM MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/06/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
NC Medicaid 8301677
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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