Individual provider · Type 1 NPI
Henrietta Johnson
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Raleigh, NC
Practice location
4729 Grand Cypress Ct
Raleigh, NC 27604-5877
Fax (919) 272-2594
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | None listed |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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About NPI 1245121896
Henrietta Johnson's National Provider Identifier is 1245121896, issued on Jul 11, 2025. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Raleigh, NC. The record was last updated on Jul 11, 2025.