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Organization

EXCEPTIONAL CARE PROFESSIONAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALLEN DOUGLAS SCALES (PARTNER/PRESIDENT)
(336) 254-2374
Entity
Organization

Contact information

Practice address
797 RED CLAY RD, EDEN, NC 27288-2425
(336) 627-3006
Mailing address
175 FISHER HILL RD, EDEN, NC 27288-7734
(336) 254-2374

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-079-094
NC

Other

Enumeration date
08/14/2008
Last updated
08/14/2008
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