Organization
YAHWEH CENTER CHILDREN'S VILLAGE
Active
Other names
Yahweh Center inc
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA ROBERTS CSW (EXECUTIVE DIRECTOR)
(910) 675-3533
Entity
Organization
Contact information
Practice address
5000 LAMBS PATH WAY, CASTLE HAYNE, NC 28429-6311
(910) 675-3533
(910) 675-3405
Mailing address
PO BOX 10399, WILMINGTON, NC 28404-0399
(910) 675-3533
(910) 675-3405
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
MHL065-176
NC
323P00000X
Psychiatric Residential Treatment Facility
MHL065-208
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3404522
—
NC
05
—
5903941
—
NC
05
—
6005882
—
NC
05
—
6603080
—
NC
05
—
6603676
—
NC
05
—
8301344
—
NC
Enumeration date
11/16/2006
Last updated
07/16/2013
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