Organization
HIGHER DEVELOPMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LEE WATERS (DIRECTOR)
(252) 974-1240
Entity
Organization
Contact information
Practice address
111 BEECH LN, WASHINGTON, NC 27889-9609
(252) 974-1240
Mailing address
111 BEECH LN, WASHINGTON, NC 27889-9609
(252) 974-1240
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL007061
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6604174
—
NC
01
—
MHL007061
LICENSE NUMBER
NC
Enumeration date
04/07/2007
Last updated
03/12/2009
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