| Organization Name: | SUPPORTED LIVING YOUTH, FAMILY & CHILDREN SERVICES, INC. |
| NPI Number: | 1942343413 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KIRK ANTHONY HILLIAN (DIRECTOR) |
| Mailing Address: | 5604 Valley Field Road Hickory |
| State: | NC US |
| Postal Code: | 286025424 |
| Phone Number: | 7042836002 |
| Fax Number: | 7042251582 |
| NPI Enumeration Date: | 02/15/2007 |
| NPI Last Update Date: | 08/01/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | MHL018074 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |