Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Youth Profile Inc

Organization Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1023171758

Youth Profile Inc is an Emotionally Disturbed Childrens' Residential Treatment Facility in Greensboro, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4010 Coltrain Rd
Greensboro, NC 27455-2632
Phone: (336) 545-1612
Fax: (336) 644-1423
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X · Licence MHL-041-204 (NC)

Record details

NPI number1023171758
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alfred McBride — Asso. Executive Director · (336) 707-0377
Other names Eastside Place
NPI enumeratedDecember 16, 2006
Last updated in NPPESJune 13, 2008
Mailing address5683 Greendale Ct, Summerfield, NC 27358-9156

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