Provider Demographics
NPI:1013096874
Name:S & C YOUTH HOMES INC
Entity Type:Organization
Organization Name:S & C YOUTH HOMES INC
Other - Org Name:S & C YOUTH SERVICES INC
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRED
Authorized Official - Middle Name:CLINTON
Authorized Official - Last Name:CHRISTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-695-1001
Mailing Address - Street 1:PO BOX 1017
Mailing Address - Street 2:
Mailing Address - City:WADESBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28170
Mailing Address - Country:US
Mailing Address - Phone:704-695-1001
Mailing Address - Fax:704-695-0907
Practice Address - Street 1:1736A MORVEN ROAD
Practice Address - Street 2:
Practice Address - City:WADESBORO
Practice Address - State:NC
Practice Address - Zip Code:28170
Practice Address - Country:US
Practice Address - Phone:704-695-1001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities