NPI | 1245531656 |
---|---|
Doing Business As | YOUNG'S BEHAVIORAL THERAPY |
Entity Type | Organization |
Authorized Contact | TAVARUS DEWAYNE YOUNG Member/Owner 910-261-9021 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Enumeration Date | 2010-11-16 |
Last Update Date | 2010-11-16 |