Organization · Type 2 NPI

Woodchurch Home

Emotionally Disturbed Childrens' Residential Treatment Facility · Raleigh, NC

NPI number 1619010568 Active

Practice location

6009 Woodchurch Court
Raleigh, NC 27604-3790

Fax (919) 877-8123

Mailing address

PO Box 18913
Raleigh, NC 27619-8913

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XMHL-092-524 (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 1619010568

Woodchurch Home's National Provider Identifier is 1619010568, issued on Feb 14, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Raleigh, NC. The record was last updated on Aug 22, 2020.