Organization
TRANSFORMATIONAL HOUSING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAWANDA BURDEN (DIRECTOR)
(949) 664-9442
Entity
Organization
Contact information
Practice address
403 BLOUNT ST, GREENVILLE, NC 27834-5327
(949) 664-9442
Mailing address
403 BLOUNT ST, GREENVILLE, NC 27834-5327
(949) 664-9442
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/09/2025
Last updated
05/09/2025
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