Organization · Type 2 NPI

Mims Manor LLC

Emotionally Disturbed Childrens' Residential Treatment Facility · Wilmington, NC

NPI number 1801950191 Active

Practice location

621 Plymouth Dr
Wilmington, NC 28405-2544

Call (910) 796-9040 Map

Mailing address

3020 Brookcrossing Dr, Village At Lakewood
Fayetteville, NC 28306-9790

Specialties and licenses

Taxonomy	Code	License
Emotionally Disturbed Childrens' Residential Treatment Facility Primary	322D00000X	MHL065170 (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.

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About NPI 1801950191

Mims Manor LLC's National Provider Identifier is 1801950191, issued on Dec 20, 2006. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Wilmington, NC. The record was last updated on Jul 10, 2007.