Wooded Acres #5

NPI 1578732038 - Community Based Residential Treatment Facility, Mental Illness - 320800000X

NPI Details
NPI 1578732038
Enumeration Date 02/28/2008
Last Updated 02/28/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name JIM JIM
Position ADMINISTRATOR
Phone (252) 946-8294
Fax
Practice Location
3634 CHERRY ROAD
WASHINGTON NC, 27889-7268, US
Phone (252) 946-8294
Fax
Business Location
3706 CHERRY RD
WASHINGTON NC, 27889-7268, US
Phone (252) 946-8294
Fax
Toxanomy
Taxonomy Code 320800000X
License State North Carolina
License Number MHL-007-064
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According to our database, Wooded Acres #5 NPI is 1578732038, taxonomy code is 320800000X and license number is MHL-007-064, license state is located at North Carolina. Wooded Acres #5 physically located at 3634 Cherry Road, Washington NC, 27889-7268. NPI Number 1033115704 has the healthcare provider type.

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1578732038 NPI number is provided on an as is basis without warranty of any kind. 1578732038 is maintained by the National Plan & Provider Enumeration System. The contents of Wooded Acres #5 are for informational purposes only.