Organization
WE CARE RESIDENTIAL FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY M ROBERSON (VICE PRESIDENT)
(252) 830-9600
Entity
Organization
Contact information
Practice address
1761 ROOSEVELT SPAIN ROAD, GREENVILLE, NC 27834-7340
(252) 329-8813
(252) 329-9460
Mailing address
1761 ROOSEVELT SPAIN ROAD, GREENVILLE, NC 27834-7340
(252) 329-8813
(252) 329-9460
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL074130
NC
Other
Enumeration date
12/19/2006
Last updated
08/22/2020
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