Individual provider · Type 1 NPI
William Tyrone Madden
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Wilmington, NC
Practice location
344 Tributary Cir
Wilmington, NC 28401-7030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1801667217
William Tyrone Madden's National Provider Identifier is 1801667217, issued on Jan 15, 2024. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Wilmington, NC. The record was last updated on Jan 15, 2024.