Organization
NYKEVIA'S COMMUNITY DEVELOPMENT CENTERV
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE TAFT (PRESIDENT)
(252) 902-7382
Entity
Organization
Contact information
Practice address
1997 REDDICKS GROVE CHURCH RD, WILLIAMSTON, NC 27892-8757
(252) 902-7382
Mailing address
PO BOX 2193, GREENVILLE, NC 27836-0193
(252) 902-7382
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/18/2008
Last updated
08/19/2009
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