Individual provider · Type 1 NPI

Addie Watson

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Greensboro, NC

NPI number 1881711802 Active

Practice location

1310 Elwell Ave
Greensboro, NC 27405-6118

Call (336) 275-1461 Map

Mailing address

P.o. Box 20084
Greensboro, NC 27420-0084

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XMHL041048 (NC)

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1881711802

Addie Watson's National Provider Identifier is 1881711802, issued on Mar 23, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Greensboro, NC. The record was last updated on Mar 4, 2024.