Individual provider · Type 1 NPI
Tommy Williams Jr., INC
Emotionally Disturbed Childrens' Residential Treatment Facility · Wallace, NC
NPI number
1437754967
Active
Practice location
1439 Bay Rd
Wallace, NC 28466-9530
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | None listed |
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.
About NPI 1437754967
Tommy Williams Jr., INC's National Provider Identifier is 1437754967, issued on Dec 2, 2020. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Wallace, NC. The record was last updated on Dec 2, 2020.