Organization · Type 2 NPI

Dwayne's Extended Family Services, Inc.

Emotionally Disturbed Childrens' Residential Treatment Facility · Greensboro, NC

NPI number 1831256858 Active

Practice location

1421 Walnut St
Greensboro, NC 27405-6648

Call (336) 638-3494 Map

Fax (336) 638-3494

Mailing address

1215 Bales Chapel Rd
Jamestown, NC 27282-9149

Specialties and licenses

Taxonomy	Code	License
Emotionally Disturbed Childrens' Residential Treatment Facility Primary	322D00000X	MHL-041-627 (NC)
Emotionally Disturbed Childrens' Residential Treatment Facility	322D00000X	MHL-041-676 (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 1831256858

Dwayne's Extended Family Services, Inc.'s National Provider Identifier is 1831256858, issued on Jan 2, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Greensboro, NC. The record was last updated on Aug 22, 2020.