Organization
PHYD, INC. (PRETTY HOMES YOUTH DEVELOPMENT)
Active
Other names
Destiny Homes of PHYD, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA PRETTY (PRESIDENT)
(919) 633-7800
Entity
Organization
Contact information
Practice address
1611 POOLE RD, RALEIGH, NC 27610-2658
(919) 713-0035
(919) 713-0034
Mailing address
PO BOX 20181, RALEIGH, NC 27619-0181
(919) 633-7800
(919) 713-0034
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
MHL-092-491
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-092-537
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603862
—
NC
05
—
6604280
—
NC
Enumeration date
10/23/2007
Last updated
03/26/2009
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