# MOTIVATIONAL RESIDENTIAL CARE

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

## Provider details

- **NPI number:** 1417462342
- **Authorized official:** SIGNAL WHITE (DIRECTOR)
- **Authorized official phone:** (336) 406-9959

## Contact information

- **Practice address:** 164 GRAVES ST, BURLINGTON, NC 27217-2628
- **Practice address phone:** (336) 409-5529
- **Mailing address:** 325 MEADOWBROOK DR, BURLINGTON, NC 27215-7525
- **Mailing address phone:** (336) 406-9959

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL-001-252 | NC | Yes |

## Other

- **Enumeration date:** 12/14/2017
- **Last updated:** 03/17/2018