Organization
PEOPLE ACHIEVING LIVING SKILL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA TERRY (CEO)
(910) 897-4311
Entity
Organization
Contact information
Practice address
200 N 13TH ST, SUITE 3B, ERWIN, NC 28339-1700
(910) 897-4311
(910) 897-4342
Mailing address
200 N 13TH ST, SUITE 3B, ERWIN, NC 28339-1700
(910) 897-4311
(910) 897-4342
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL043062
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408775
—
NC
05
—
8301279 B
—
NC
Enumeration date
01/30/2007
Last updated
08/22/2020
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