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Organization
MBN & ASSOCIATES
Active
Organization
MBN & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MILLTRENE B NEWELL (EXECUTIVE DIRECTOR)
(919) 496-1899
Entity
Organization
Contact information
Practice address
1514 EAST RIVER ROAD, LOUISBURG, NC 27549
(919) 496-1903
(919) 496-1803
Mailing address
PO BOX 1086, LOUISBURG, NC 27549-1086
(919) 496-1899
(919) 496-1803
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL 035044
NC
Other
Enumeration date
03/23/2007
Last updated
08/22/2020
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