Provider Demographics
NPI:1508332370
Name:C-3 FAMILY & YOUTH SERVICES INC.
Entity Type:Organization
Organization Name:C-3 FAMILY & YOUTH SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICE/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANA MADISON
Authorized Official - Middle Name:
Authorized Official - Last Name:LOWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-772-0103
Mailing Address - Street 1:1400 BATTLEGROUND AVE STE 214G
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27408-8028
Mailing Address - Country:US
Mailing Address - Phone:336-772-0103
Mailing Address - Fax:
Practice Address - Street 1:1400 BATTLEGROUND AVE STE 214G
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-8028
Practice Address - Country:US
Practice Address - Phone:336-772-0103
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-19
Last Update Date:2018-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health