# MELVIN AND JOHNSON COMMUNITY LIVING

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

## Provider details

- **NPI number:** 1962690891
- **Authorized official:** MS. APRIL CHECRECE JOHNSON (OWNER)
- **Authorized official phone:** (910) 818-8797

## Contact information

- **Practice address:** 169 FRONT ST, RED SPRINGS, NC 28377-1713
- **Practice address phone:** (910) 843-3659
- **Practice address fax:** (910) 843-3659
- **Mailing address:** PO BOX 851, RED SPRINGS, NC 28377-0851
- **Mailing address phone:** (910) 843-3659
- **Mailing address fax:** (910) 843-3659

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-078-195 | NC | Yes |

## Other

- **Enumeration date:** 10/04/2007
- **Last updated:** 10/04/2007