Basic Information
Provider Information
NPI: 1174849939
EntityType: 2
ReplacementNPI:  
OrganizationName: HAND UP HOMES FOR YOUTH, INC.
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Mailing Information
Address1: PO BOX 816
Address2:  
City: MORGANTON
State: NC
PostalCode: 286800816
CountryCode: US
TelephoneNumber: 8284398191
FaxNumber: 8284398192
Practice Location
Address1: 110 S STERLING ST
Address2:  
City: MORGANTON
State: NC
PostalCode: 286553483
CountryCode: US
TelephoneNumber: 8284334567
FaxNumber: 8284334575
Other Information
ProviderEnumerationDate: 04/19/2010
LastUpdateDate: 04/19/2010
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: WILSON
AuthorizedOfficialFirstName: LAURA
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AuthorizedOfficialTitleorPosition: CORPORATE DIRECTOR
AuthorizedOfficialTelephone: 3039023999
IsSoleProprietor:  
IsOrganizationSubpart: N
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Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700XC002478NCY193200000X MULTI-SPECIALTY GROUPBehavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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