Trinity Will Group

NPI 1053495523 - Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X

NPI Details
NPI 1053495523
Enumeration Date 10/24/2006
Last Updated 01/02/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SHIRLEY MELINDA SHIRLEY
Position EXECUTIVE DIRECTOR
Phone (910) 525-5035
Fax (910) 525-5065
Practice Location
140 FAULKNER LN
ROSEBORO NC, 28382-5415, US
Phone (910) 525-5035
Fax (910) 525-5065
Business Location
PO BOX 618
CLINTON NC, 28329-0618, US
Phone (910) 590-2971
Fax (910) 596-2971
Toxanomy
Taxonomy Code 322D00000X
License State North Carolina
License Number MHL082046
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According to our database, Trinity Will Group NPI is 1053495523, taxonomy code is 322D00000X and license number is MHL082046, license state is located at North Carolina. Trinity Will Group physically located at 140 Faulkner Ln, Roseboro NC, 28382-5415. NPI Number 1033115704 has the healthcare provider type.

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1053495523 NPI number is provided on an as is basis without warranty of any kind. 1053495523 is maintained by the National Plan & Provider Enumeration System. The contents of Trinity Will Group are for informational purposes only.