Organization · Type 2 NPI
Impact Youth and Family Services, Inc.
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Willow Spring, NC
Practice location
109 Deer Farm Ln
Willow Spring, NC 27592-8505
Fax (888) 470-3543
Mailing address
PO Box 157
Willow Spring, NC 27592-0157
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | MHL-051-146 (NC) |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Another provider at this address
Other intellectual and/or developmental disabilities residential treatment facility providers in Willow Spring
About NPI 1609926575
Impact Youth and Family Services, Inc.'s National Provider Identifier is 1609926575, issued on Jan 11, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Willow Spring, NC. The record was last updated on Aug 22, 2020.