Organization · Type 2 NPI

Potter's House Outreach Corporation

Emotionally Disturbed Childrens' Residential Treatment Facility · Raeford, NC

NPI number 1568622009 Active

Practice location

105 Harvest Ln
Raeford, NC 28376-6516

Call (910) 904-5791 Map

Fax (910) 904-6791

Mailing address

PO Box 26073
Fayetteville, NC 28314-5017

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XMHL047074 (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.

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About NPI 1568622009

Potter's House Outreach Corporation's National Provider Identifier is 1568622009, issued on Jun 9, 2008. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Raeford, NC. The record was last updated on Jun 9, 2008.