Organization · Type 2 NPI
Edwards Group Home #2
Mental Illness Community Based Residential Treatment Facility · Hookerton, NC
NPI number
1316077944
Active
Practice location
408 E Main St
Hookerton, NC 28538-7225
Fax (252) 747-2602
Mailing address
PO Box 295
Snow Hill, NC 28580-0295
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | MHL040021 (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.
About NPI 1316077944
Edwards Group Home #2's National Provider Identifier is 1316077944, issued on Mar 6, 2007. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Hookerton, NC. The record was last updated on Jan 10, 2008.