# PREMIER RESIDENTIAL FOR KIDS INC.

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

## Provider details

- **NPI number:** 1760705859
- **Authorized official:** MRS. EBONY P SMITH (OWNER/DIRECTOR)
- **Authorized official phone:** (336) 407-0424

## Contact information

- **Practice address:** 516 REVERE RD, HILLSBOROUGH, NC 27278-2089
- **Practice address phone:** (919) 241-4557
- **Mailing address:** 516A REVERE ROAD, HILLSBOROUGH, NC 27278
- **Mailing address phone:** (919) 241-4557

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL-068-144 | NC | Yes |

## Other

- **Enumeration date:** 03/04/2010
- **Last updated:** 06/20/2018