Organization · Type 2 NPI

Creolia's House LLC

Emotionally Disturbed Childrens' Residential Treatment Facility · Eden, NC

NPI number 1235311994 Active

Practice location

627 Lake St
Eden, NC 27288-4323

Call (336) 635-4999 Map

Fax (336) 635-4999

Mailing address

1074 Candy Creek Rd
Reidsville, NC 27320-1631

Specialties and licenses

Taxonomy	Code	License
Emotionally Disturbed Childrens' Residential Treatment Facility Primary	322D00000X	None listed

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.

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About NPI 1235311994

Creolia's House LLC's National Provider Identifier is 1235311994, issued on Dec 4, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Eden, NC. The record was last updated on Jun 23, 2008.