# HUMBLE SPIRIT FOUNDATION

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

## Provider details

- **NPI number:** 1881839009
- **Authorized official:** DR. VIOLA VAUGHAN HOLLAND PHD (RETIRED PRINCIPAL)
- **Authorized official phone:** (252) 356-4108

## Contact information

- **Practice address:** 925 QUEBEC RD, COLERAIN, NC 27924-9224
- **Practice address phone:** (252) 287-6333
- **Mailing address:** 925 QUEBEC RD, COLERAIN, NC 27924-9224
- **Mailing address phone:** (252) 356-4108

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 12/03/2008
- **Last updated:** 12/03/2008
