More Than Conquerors Youth Center Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

MHL-039-036 Issued in NC

Legal business name

MORE THAN CONQUERORS YOUTH CENTER INC.

Doing business as

More Than Conquerors

Practice address

408 E E St
Butner, NC 27509-2037

Phone

(919) 575-0746

Fax

(919) 575-0748

NPI assigned

Sep 2, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Matt Mayes Jr.

Title

President/ Supervised Living Manage

Phone

(919) 575-4785

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• More Than Conquerors Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902908692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 E E ST",
            "city": "BUTNER",
            "state": "NC",
            "postal_code": "275092037",
            "telephone_number": "919-575-0746",
            "fax_number": "919-575-0748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 E E ST",
            "city": "BUTNER",
            "state": "NC",
            "postal_code": "275092037",
            "telephone_number": "919-575-0746",
            "fax_number": "919-575-0748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORE THAN CONQUERORS YOUTH CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAYES",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "PRESIDENT/ SUPERVISED LIVING MANAGE",
        "authorized_official_telephone_number": "919-575-4785",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-039-036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418086",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "More Than Conquerors",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph Cameron Mitchell, PHARM.D.
• Lelia Ann Mitchener, PHARMD
• Kathryn M Moore, PHARMD
• Richard Earl Moore Jr., PHARMD
• Shaneeka L Moore, LCSWA
• Holly Morgan, MSW
• Stephanie Moss, LPA
• Murdoch Developmental Center
• Murdoch Developmental Center
• Murdoch Developmental Center

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Butner, NC
• Providers in Butner, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.