Organization · Type 2 NPI

Spirit of Excellence Community Outreach, Inc

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Jacksonville, NC

NPI number 1508291683 Active

Practice location

510 Crissy Dr
Jacksonville, NC 28540-9183

Call (910) 219-0459 Map

Mailing address

PO Box 752
Jacksonville, NC 28541-0752

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility 320800000XNone listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XMHL-067-157 (NC)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Other intellectual and/or developmental disabilities community based residential treatment facility providers in Jacksonville

See all in Jacksonville →

About NPI 1508291683

Spirit of Excellence Community Outreach, Inc's National Provider Identifier is 1508291683, issued on Sep 9, 2013. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Jacksonville, NC. The record was last updated on Sep 10, 2013.