James Edward McIver Jr.
Residential Treatment Facility, Emotionally Disturbed Children in Jacksonville, NC. Individual provider (NPI-1).
NPI number1124172986
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1124172986
- Entity type
- Individual (NPI-1)
- Name
- Mr. James Edward McIver Jr.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 22, 2007
- Last updated
- Jul 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | MHL-067-162 | NC | Yes |
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | MHL-067-142 | NC |
Practice location
141 Thomas Humphrey RdJacksonville, NC 28546-6205
Phone 910-347-5218 · Fax 910-346-0957
Mailing address
Po Box 12364Jacksonville, NC 28546-2364
Phone 910-347-5218 · Fax 910-346-0957
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Emotionally Disturbed Childrens' Residential Treatment Facility providers in Jacksonville, NC
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.