# LEWIS TREATMENT FACILITY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033243761
- **Authorized official:** MRS. GALE VALENCIA RAY (DIRECTOR)
- **Authorized official phone:** (910) 261-4553

## Contact information

- **Practice address:** 116 MARION-AMOS ROAD, ROSEBORO, NC 28382
- **Practice address phone:** (910) 525-3144
- **Mailing address:** 6183 TIMBERLAND DR, FAYETTEVILLE, NC 28314-2185
- **Mailing address phone:** (910) 868-6189

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-082-050 | NC | Yes |

## Other

- **Enumeration date:** 03/15/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6603847 | — | NC |