Organization
MTS THERAPEUTIC RESIDENTIAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHASITY NICOLE HUDSON-ODOI RN (OWNER)
(910) 938-0670
Entity
Organization
Contact information
Practice address
303 S SHORE DR, JACKSONVILLE, NC 28540-5647
(910) 938-0670
(910) 938-1229
Mailing address
303 S SHORE DR, JACKSONVILLE, NC 28540-5647
(910) 938-0670
(910) 938-1229
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
03/24/2009
Last updated
03/24/2009
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