Organization · Type 2 NPI

Living Waters Group Home

Emotionally Disturbed Childrens' Residential Treatment Facility · Fayetteville, NC

NPI number 1447390042 Active

Practice location

1609 Sweetgum Cir
Fayetteville, NC 28304-2707

Call (910) 867-3279 Map

Mailing address

8419 Cartman Dr
Fayetteville, NC 28314-8419

Specialties and licenses

Taxonomy	Code	License
Emotionally Disturbed Childrens' Residential Treatment Facility Primary	322D00000X	MHL 026-796 (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.

3 other providers at this address

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About NPI 1447390042

Living Waters Group Home's National Provider Identifier is 1447390042, issued on Feb 6, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Fayetteville, NC. The record was last updated on Aug 22, 2020.