1st & 10 Group Home, INC. #2
Residential Treatment Facility, Emotionally Disturbed Children in Turkey, NC. Organization (NPI-2).
NPI number1215127675
StatusActive
Last updated in NPPESMar 28, 2008
Details
- NPI
- 1215127675
- Entity type
- Organization (NPI-2)
- Legal business name
- 1st & 10 Group Home, INC. #2
- Organization subpart
- No
- Enumeration date
- Jul 31, 2007
- Last updated
- Mar 28, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | MHL082071 | NC | Yes |
Practice location
6090 Turkey HighwayTurkey, NC 28393-9998
Phone 910-590-2034 · Fax 910-299-0010
Mailing address
Po Box 41Clinton, NC 28329-0041
Phone 910-299-0099 · Fax 910-299-0010
Authorized official
Jerris Cornelius Mcphail
Owner
9102990099
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