Individual provider · Type 1 NPI
Freddie Lee Williams
Emotionally Disturbed Childrens' Residential Treatment Facility · Durham, NC
Practice location
3671 Guess Rd
Durham, NC 27705-6908
Fax (919) 471-3904
Mailing address
PO Box 14281
Research Triangle Park, NC 27709-4281
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | MHL-032-468 (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 1285874909
Freddie Lee Williams's National Provider Identifier is 1285874909, issued on Feb 21, 2009. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Durham, NC. The record was last updated on Feb 21, 2009.