Organization · Type 2 NPI
Eason Court Group Home LLC #2
Mental Illness Community Based Residential Treatment Facility · Youngsville, NC
NPI number
1003353475
Active
Practice location
124 Gregory Mnr
Youngsville, NC 27596-9614
Fax (866) 285-8824
Mailing address
PO Box 759
Youngsville, NC 27596-0759
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | MHL 035 050 (NC) |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | MHL 035 029 (NC) |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
About NPI 1003353475
Eason Court Group Home LLC #2's National Provider Identifier is 1003353475, issued on Jan 24, 2017. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Youngsville, NC. The record was last updated on Jan 24, 2017.