Individual provider · Type 1 NPI
James Edward McIver Jr.
Emotionally Disturbed Childrens' Residential Treatment Facility · Jacksonville, NC
Practice location
141 Thomas Humphrey Rd
Jacksonville, NC 28546-6205
Fax (910) 346-0957
Mailing address
PO Box 12364
Jacksonville, NC 28546-2364
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | MHL-067-142 (NC) |
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | MHL-067-162 (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 1124172986
James Edward McIver Jr.'s National Provider Identifier is 1124172986, issued on Jan 22, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Jacksonville, NC. The record was last updated on Jul 9, 2007.