Organization · Type 2 NPI

Melrose Center

Emotionally Disturbed Childrens' Residential Treatment Facility · Fayetteville, NC

NPI number 1710122114 Active

Practice location

421 Maiden Ln Ste 207
Fayetteville, NC 28301-5055

Call (910) 536-2253 Map

Mailing address

421 Maiden Ln, Suite 207
Fayetteville, NC 28301-5055

Specialties and licenses

Taxonomy	Code	License
Mental Illness Community Based Residential Treatment Facility	320800000X	None listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	320900000X	None listed
Emotionally Disturbed Childrens' Residential Treatment Facility Primary	322D00000X	None listed

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 1710122114

Melrose Center's National Provider Identifier is 1710122114, issued on Dec 14, 2008. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Fayetteville, NC. The record was last updated on Dec 27, 2008.