# YAHWEH CENTER CHILDREN'S VILLAGE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Yahweh Center inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023181013
- **Authorized official:** CARLA ROBERTS CSW (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (910) 675-3533

## Contact information

- **Practice address:** 5000 LAMBS PATH WAY, CASTLE HAYNE, NC 28429-6311
- **Practice address phone:** (910) 675-3533
- **Practice address fax:** (910) 675-3405
- **Mailing address:** PO BOX 10399, WILMINGTON, NC 28404-0399
- **Mailing address phone:** (910) 675-3533
- **Mailing address fax:** (910) 675-3405

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | MHL065-176 | NC | Yes |
| 323P00000X | Psychiatric Residential Treatment Facility | MHL065-208 | NC | — |

## Other

- **Enumeration date:** 11/16/2006
- **Last updated:** 07/16/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3404522 | — | NC |
| 05 | — | 5903941 | — | NC |
| 05 | — | 6005882 | — | NC |
| 05 | — | 6603080 | — | NC |
| 05 | — | 6603676 | — | NC |
| 05 | — | 8301344 | — | NC |