Supreme Youth Development Center
Supreme Youth Development Center is a Community/Behavioral Health Agency in Raleigh, North Carolina. Registered with an NPI since 2009.
- In the registry since
- 2009
Practice location Address checks out
4704 Courtney Ln Apt CRaleigh, NC 27616-5251
Phone: (919) 824-0891
Fax: (919) 803-2356
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1043447733 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kelly Broady — Ceo/Founder · (919) 824-0891 |
| NPI enumerated | June 19, 2009 |
| Last updated in NPPES | June 19, 2009 |
| Mailing address | 4704 Courtney Ln Apt C, Raleigh, NC 27616-5251 |
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