Individual provider · Type 1 NPI
Shavonica Dionne Stevenson
Emotionally Disturbed Childrens' Residential Treatment Facility · Greensboro, NC
Practice location
1910 Mcknight Mill Rd
Greensboro, NC 27405-3908
Mailing address
322 Craig St
Greensboro, NC 27406-2848
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | MHL-041-862 (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.
Another provider at this address
About NPI 1649432295
Shavonica Dionne Stevenson's National Provider Identifier is 1649432295, issued on Jun 25, 2008. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Greensboro, NC. The record was last updated on Jun 25, 2008.