# FIELDS FOUNDATION

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

## Provider details

- **NPI number:** 1578753539
- **Authorized official:** MR. GERALD KENT FIELDS JR. (OWNER)
- **Authorized official phone:** (252) 224-0150

## Contact information

- **Practice address:** 9400 US HIGHWAY 17, POLLOCKSVILLE, NC 28573-9490
- **Practice address phone:** (252) 224-0150
- **Mailing address:** 9400 US HIGHWAY 17, POLLOCKSVILLE, NC 28573-9490
- **Mailing address phone:** (252) 224-0150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL-052-014 | NC | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-052-014 | NC | Yes |

## Other

- **Enumeration date:** 07/26/2007
- **Last updated:** 07/26/2007