Organization · Type 2 NPI

Lawrence Edward Graham JR Youth Outreach Facility, Inc

Mental Illness Community Based Residential Treatment Facility · Red Springs, NC

NPI number 1700062205 Active

Practice location

9431 Nc Highway 211 W
Red Springs, NC 28377-6001

Fax (910) 843-5976

Mailing address

PO Box 1952
Raeford, NC 28376-3952

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XMHL-078-201 (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.

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About NPI 1700062205

Lawrence Edward Graham JR Youth Outreach Facility, Inc's National Provider Identifier is 1700062205, issued on Jan 14, 2008. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Red Springs, NC. The record was last updated on Jan 14, 2008.