Organization · Type 2 NPI
Pearls Family Care Home #4
Mental Illness Community Based Residential Treatment Facility · Jacksonville, NC
NPI number
1174710529
Active
Practice location
102 Ash Place
Jacksonville, NC 28546
Mailing address
102 Ash Court
Jacksonville, NC 28546-9120
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | 067014 (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.
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About NPI 1174710529
Pearls Family Care Home #4's National Provider Identifier is 1174710529, issued on Oct 1, 2007. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Jacksonville, NC. The record was last updated on Jul 25, 2008.