Individual provider · Type 1 NPI
Stacey Whitehead
Emotionally Disturbed Childrens' Residential Treatment Facility · Clayton, NC
Practice location
355 Beckwith Ave
Clayton, NC 27527-4258
Mailing address
1100 Logger Ct Ste A102
Raleigh, NC 27609-8506
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.
Another provider at this address
About NPI 1457923971
Stacey Whitehead's National Provider Identifier is 1457923971, issued on Jul 14, 2021. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Clayton, NC. The record was last updated on Jul 14, 2021.