Organization
EDELL'S INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN DELORES WILLIAMS (EXECUTIVE DIRECTOR)
(252) 636-1419
Entity
Organization
Contact information
Practice address
1015 PLYMOUTH DR, NEW BERN, NC 28562-2537
(252) 636-1419
(252) 672-5653
Mailing address
1015 PLYMOUTH DR, NEW BERN, NC 28562-2537
(252) 636-1419
(252) 672-5653
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
322D00000X
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
322D00000
TAXONOMY NUMBER
NC
Enumeration date
02/06/2007
Last updated
08/22/2020
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