Organization · Type 2 NPI

Lane Home

Emotionally Disturbed Childrens' Residential Treatment Facility · Selma, NC

NPI number 1578628574 Active

Practice location

3620 Lizzie Mill Rd
Selma, NC 27576-8603

Fax (919) 965-8409

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XMHL-051-048 (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 1578628574

Lane Home's National Provider Identifier is 1578628574, issued on Dec 27, 2006. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Selma, NC. The record was last updated on Aug 22, 2020.