Organization
BOYS & GIRLS HOMES OF NC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICKY CREECH (CEO)
(910) 646-3083
Entity
Organization
Contact information
Practice address
104 E OLD HIGHWAY 74 76, LAKE WACCAMAW, NC 28450-2512
(910) 646-3083
(910) 356-0081
Mailing address
PO BOX 127, LAKE WACCAMAW, NC 28450-0127
(910) 646-3083
(910) 646-1232
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
B00004
NC
253J00000X
Foster Care Agency
Primary
B00004
NC
Other
Enumeration date
07/13/2010
Last updated
01/31/2022
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