# CANYON HILLS TREATMENT FACILITY, LLC

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

## Provider details

- **NPI number:** 1184096661
- **Authorized official:** MICHEAUX HOLLINGSWORTH (OWNER)
- **Authorized official phone:** (505) 652-0669

## Contact information

- **Practice address:** 769 ABERDEEN RD, RAEFORD, NC 28376-0029
- **Practice address phone:** (910) 644-8441
- **Mailing address:** 769 ABERDEEN RD, RAEFORD, NC 28376-0029
- **Mailing address phone:** (910) 644-8441

## Taxonomy

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

## Other

- **Enumeration date:** 10/23/2015
- **Last updated:** 10/23/2015