Organization · Type 2 NPI
Ebenezer Christian Childrens Home
Emotionally Disturbed Childrens' Residential Treatment Facility · North Wilkesboro, NC
Practice location
1006 Byrd Ridge Rd
North Wilkesboro, NC 28659-8044
Fax (336) 667-8634
Mailing address
P.o. Box 2777
North Wilkesboro, NC 28659-2777
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | MHL-097-061 (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.
Another provider at this address
About NPI 1881866002
Ebenezer Christian Childrens Home's National Provider Identifier is 1881866002, issued on Mar 27, 2008. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in North Wilkesboro, NC. The record was last updated on Mar 27, 2008.