# EXCEPTIONAL CARE PROFESSIONAL SERVICES, LLC

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

## Provider details

- **NPI number:** 1437394145
- **Authorized official:** MR. ALLEN SCALES (OWNER/PRESIDENT)
- **Authorized official phone:** (336) 254-2374

## Contact information

- **Practice address:** 797 RED CLAY RD, EDEN, NC 27288-2425
- **Practice address phone:** (336) 627-3006
- **Mailing address:** 797 RED CLAY RD, EDEN, NC 27288-2425

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-079-094 | NC | Yes |

## Other

- **Enumeration date:** 12/09/2008
- **Last updated:** 12/09/2008