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Organization
MOTIVATIONAL RESIDENTIAL CARE
Active
Organization
MOTIVATIONAL RESIDENTIAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIGNAL WHITE (DIRECTOR)
(336) 406-9959
Entity
Organization
Contact information
Practice address
164 GRAVES ST, BURLINGTON, NC 27217-2628
(336) 409-5529
Mailing address
325 MEADOWBROOK DR, BURLINGTON, NC 27215-7525
(336) 406-9959
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-001-252
NC
Other
Enumeration date
12/14/2017
Last updated
03/17/2018
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