Organization
KIDS' RESIDENTIAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BRITTANY MARIE COOPER C.H.E.S. (PRESIDENT/EXECUTIVE DIRECTOR)
(910) 829-7184
Entity
Organization
Contact information
Practice address
1112 DEVONSHIRE TRL, ABERDEEN, NC 28315-3910
(910) 944-1047
(910) 829-0088
Mailing address
PO BOX 429, FAYETTEVILLE, NC 28302-0429
(910) 829-7184
(910) 829-0088
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL-063-016
NC
Other
Enumeration date
06/10/2010
Last updated
03/25/2013
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