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Brooks & Associates Youth Services, LLC

Organization Active NPI Developmentally Disabled Services Day Training Agency · Shallotte, NC

NPI 1043451669 · NPPES record last updated Mar 11, 2009

Key facts

NPI
1043451669
Entity type
Organization (NPI type 2)
Primary specialty
Developmentally Disabled Services Day Training Agency 251C00000X
Legal business name
BROOKS & ASSOCIATES YOUTH SERVICES, LLC
Practice address
4450 Main St
Shallotte, NC 28470-4450
Phone
(910) 755-2010
Fax
(910) 755-2422
NPI assigned
Mar 11, 2009
Organization subpart
No

Authorized official

Name
Mrs. Sandra Brooks
Title
Executive Director
Phone
(910) 755-2010

Corporate family (same tax ID) 3

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Brooks Associates Youth and Family Services LL (4 organizations share this tax ID)

Locations

4450 Main St
Shallotte, NC 28470
Phone (910) 755-2010

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Yes

Addresses

Primary practice location

4450 Main St
Shallotte, NC 28470-4450

Mailing address

4450 Main St
Shallotte, NC 28470-4450
Phone (910) 755-2010

Other identifiers

IdentifierTypeStateIssuer
8301814MedicaidNC

Other names

  • B&A Youth Services, LLC Doing business as

Other providers in Shallotte, NC

All providers in Shallotte, NC · Developmentally Disabled Services Day Training Agency in North Carolina

Sources for this page

Verify at the official NPI Registry.