Organization
JOHNSON CENTER II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELIA FERGUSTON RN (EXECUTIVE DIRECTOR)
(910) 843-7007
Entity
Organization
Contact information
Practice address
111 TAYLOR ST, RED SPRINGS, NC 28377-1918
(910) 843-7007
(910) 843-7008
Mailing address
PO BOX 844, RED SPRINGS, NC 28377-0844
(910) 843-7007
(910) 843-7008
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL078197
NC
Other
Enumeration date
02/04/2008
Last updated
02/04/2008
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