Organization · Type 2 NPI
John & Jennerine Enterprise, Inc.
Emotionally Disturbed Childrens' Residential Treatment Facility · Reidsville, NC
Practice location
116 Pineview Dr
Reidsville, NC 27320-8126
Fax (336) 852-6701
Mailing address
PO Box 1583
Reidsville, NC 27323-1583
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | MHL079092 (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.
Other emotionally disturbed childrens' residential treatment facility providers in Reidsville
About NPI 1700051273
John & Jennerine Enterprise, Inc.'s National Provider Identifier is 1700051273, issued on Apr 25, 2008. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Reidsville, NC. The record was last updated on Feb 4, 2010.