# VISION

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

## Provider details

- **NPI number:** 1467692988
- **Authorized official:** MR. FREDDIE LEE WILLIAMS (DIRECTOR)
- **Authorized official phone:** (919) 479-6917

## Contact information

- **Practice address:** 3671 GUESS RD, DURHAM, NC 27705-6908
- **Practice address phone:** (919) 479-6917
- **Practice address fax:** (919) 471-3904
- **Mailing address:** PO BOX 14281, RESEARCH TRIANGLE PARK, NC 27709-4281
- **Mailing address phone:** (919) 479-6917
- **Mailing address fax:** (919) 471-3904

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-032-468 | NC | Yes |

## Other

- **Enumeration date:** 02/23/2009
- **Last updated:** 02/23/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 66043620 | — | NC |