Organization
HILLY BRANCH DAY TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEMETRIUS JEROME HILL (OWNER / CEO)
(910) 628-5671
Entity
Organization
Contact information
Practice address
1900 HILLY BRANCH RD, LUMBERTON, NC 28360-0317
(910) 671-0058
(910) 618-0010
Mailing address
1900 HILLY BRANCH RD, LUMBERTON, NC 28360-0317
(910) 671-0058
(910) 618-0010
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
MHL-0-78-231
NC
Other
Enumeration date
08/18/2009
Last updated
08/18/2009
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