# MTS THERAPEUTIC RESIDENTIAL SERVICES, LLC

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

## Provider details

- **NPI number:** 1265674113
- **Authorized official:** CHASITY NICOLE HUDSON-ODOI RN (OWNER)
- **Authorized official phone:** (910) 938-0670

## Contact information

- **Practice address:** 303 S SHORE DR, JACKSONVILLE, NC 28540-5647
- **Practice address phone:** (910) 938-0670
- **Practice address fax:** (910) 938-1229
- **Mailing address:** 303 S SHORE DR, JACKSONVILLE, NC 28540-5647
- **Mailing address phone:** (910) 938-0670
- **Mailing address fax:** (910) 938-1229

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | — | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |
| 385H00000X | Respite Care | — | — | — |

## Other

- **Enumeration date:** 03/24/2009
- **Last updated:** 03/24/2009