Carolina Youth Association
Specialty details in registry · Charlotte, NC
At a glance
5501 Executive Center Dr Ste 213, Charlotte, NC 28212-8823
NPPES record updated May 7, 2026. Public records can lag behind changes at a practice.
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Practice location
5501 Executive Center Dr Ste 213Charlotte, NC 28212-8823
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 251S00000X
- Enumeration date
- Sep 16, 2017
- Record updated
- May 7, 2026
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
251S00000X · Primary
Specialty details in registry
343900000X
Specialty details in registry
385H00000X
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
5501 Executive Center Dr Ste 213Charlotte, NC 28212-8823
- Phone
- (704) 648-7355
Mailing address
5501 EXECUTIVE CENTER DR STE 213CHARLOTTE, NC 282128823
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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