Organization · Type 2 NPI

Bynum's-Way Adolescent Treatment Home

Emotionally Disturbed Childrens' Residential Treatment Facility · Roxboro, NC

NPI number 1114157989 Active

Practice location

4700 Virgilina Rd
Roxboro, NC 27574-8307

Fax (919) 550-2648

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000X073055 (NC)

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

About NPI 1114157989

Bynum's-Way Adolescent Treatment Home's National Provider Identifier is 1114157989, issued on Jul 15, 2009. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Roxboro, NC. The record was last updated on Jul 15, 2009.