Organization
THE METHODIST HOME FOR CHILDREN, IN.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN R FRANKFORT-WINNINGHAM (DIRECTOR OF QUALITY IMPROVEMENT)
(919) 754-3638
Entity
Organization
Contact information
Practice address
5400 N HILLS DR, RALEIGH, NC 27612-5909
(919) 782-8389
(919) 782-8387
Mailing address
1041 WASHINGTON ST, RALEIGH, NC 27605-1259
(919) 754-3638
(919) 755-1833
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253J00000X
Foster Care Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
MHL092518
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005648
—
NC
05
—
6106014
—
NC
05
—
6111853
—
NC
05
—
6603464
—
NC
Enumeration date
11/19/2006
Last updated
10/19/2022
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