# JOHNSON CENTER II

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

## Provider details

- **NPI number:** 1245418052
- **Authorized official:** SHELIA FERGUSTON RN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (910) 843-7007

## Contact information

- **Practice address:** 111 TAYLOR ST, RED SPRINGS, NC 28377-1918
- **Practice address phone:** (910) 843-7007
- **Practice address fax:** (910) 843-7008
- **Mailing address:** PO BOX 844, RED SPRINGS, NC 28377-0844
- **Mailing address phone:** (910) 843-7007
- **Mailing address fax:** (910) 843-7008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL078197 | NC | Yes |

## Other

- **Enumeration date:** 02/04/2008
- **Last updated:** 02/04/2008