Organization · Type 2 NPI
House of Jabez LLC
Mental Illness Community Based Residential Treatment Facility · Fremont, NC
NPI number
1376757252
Active
Practice location
203 Dock Street
Fremont, NC 27830-0662
Mailing address
1516 A N. William Street
Goldsboro, NC 27530-1616
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | MHL 096-195 (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 1376757252
House of Jabez LLC's National Provider Identifier is 1376757252, issued on May 9, 2007. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Fremont, NC. The record was last updated on Aug 22, 2020.