Organization · Type 2 NPI
A Greater Divine Place Inc
Emotionally Disturbed Childrens' Residential Treatment Facility · Lexington, NC
Practice location
366 Bremen Garden Dr
Lexington, NC 27295-6044
Mailing address
100 Hamilton Rd
Lexington, NC 27295-1831
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | 029098 (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 1174675623
A Greater Divine Place Inc's National Provider Identifier is 1174675623, issued on Jan 17, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Lexington, NC. The record was last updated on Aug 22, 2020.