# THE KID ZONE CAMP, LLC

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

## Provider details

- **NPI number:** 1538944905
- **Authorized official:** ROBIN W MIDYETTE (MEMBER)
- **Authorized official phone:** (919) 768-3383

## Contact information

- **Practice address:** 401 CENTRAL AVE, BUTNER, NC 27509
- **Practice address phone:** (919) 768-3383
- **Mailing address:** 1636 ROGERS POINTE LN, CREEDMOOR, NC 27522-8255
- **Mailing address phone:** (919) 768-3383

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | Yes |

## Other

- **Enumeration date:** 08/25/2023
- **Last updated:** 03/31/2026
