Individual provider · Type 1 NPI
Moore Bynum
Emotionally Disturbed Childrens' Residential Treatment Facility · Rocky Mount, NC
Practice location
518 Arlington St
Rocky Mount, NC 27801-5657
Mailing address
131 Bynum Pl
Norlina, NC 27563-9139
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | MHL-033-054 (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.
Another provider at this address
About NPI 1265619274
Moore Bynum's National Provider Identifier is 1265619274, issued on Jan 22, 2008. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Rocky Mount, NC. The record was last updated on Jan 22, 2008.