Organization · Type 2 NPI

Ford Home

Community/Behavioral Health Agency · Jacksonville, NC

NPI number 1104005735 Active

Practice location

311 Brentwood Ave
Jacksonville, NC 28540-5405

Fax (910) 324-2725

Mailing address

PO Box 5182
Jacksonville, NC 28540-1182

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XMHL 067-167 (NC)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1104005735

Ford Home's National Provider Identifier is 1104005735, issued on Oct 31, 2007. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Jacksonville, NC. The record was last updated on Sep 14, 2009.