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Organization
MTS THERAPEUTIC SERVICES, LLC
Active
Organization
MTS THERAPEUTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS TREVOUR SHEPARD BA, QP (OWNER/OPERATOR)
(910) 376-2276
Entity
Organization
Contact information
Practice address
303 S SHORE DR, JACKSONVILLE, NC 28540-5647
(910) 938-0670
(910) 938-1229
Mailing address
303 S SHORE DR, JACKSONVILLE, NC 28540-5647
(910) 938-0670
(910) 938-1229
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
02/11/2009
Last updated
02/11/2009
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