Organization · Type 2 NPI
Edwards Group Home 4
Mental Illness Community Based Residential Treatment Facility · Stantonsburg, NC
NPI number
1609906288
Active
Practice location
1269 Apple Tree Rd
Stantonsburg, NC 27883-9039
Fax (252) 747-2602
Mailing address
PO Box 295
Snow Hill, NC 28580-0295
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | MHL040027 (NC) |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Other mental illness community based residential treatment facility providers in Stantonsburg
About NPI 1609906288
Edwards Group Home 4's National Provider Identifier is 1609906288, issued on Mar 6, 2007. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Stantonsburg, NC. The record was last updated on Jan 10, 2008.