Individual provider · Type 1 NPI
Eloise M. Dowtin, RN
Mental Illness Community Based Residential Treatment Facility · Knightdale, NC
NPI number
1407036031
Active
Practice location
303 Aqua Marine Ln
Knightdale, NC 27545-7870
Fax (919) 255-1775
Mailing address
PO Box 26153
Raleigh, NC 27611-6153
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | MHL-092-654 (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.
Another provider at this address
Other mental illness community based residential treatment facility providers in Knightdale
About NPI 1407036031
Eloise M. Dowtin, RN's National Provider Identifier is 1407036031, issued on Nov 12, 2007. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Knightdale, NC. The record was last updated on Nov 12, 2007.