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NPI 1104153485

OrganizationActive

Avery Youth Services for Boys, Inc.

NPI 1104153485 · Case Management Agency · Knightdale, NC

Provider details

NPI number: 1104153485
Entity type: Organization
Primary specialty: Case Management AgencyAgencies
Authorized official: Terrence Shields, President

Practice location

742 Mcknight Dr

Suite 201

Knightdale, NC 27545-7764

Phone: (919) 261-9688

Fax: (919) 261-0118

More NC providers

Mailing address

742 Mcknight Dr

Knightdale, NC 27545-7764

Registry dates

Enumerated: 2009-11-08
Last updated: 2009-11-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Avery Youth Services for Boys, Inc. — NPI 1104153485, Knightdale, NC | NPI Central