Organization
MENTAL HEALTH ASSOCIATION IN NC
Active
Other names
Rainbow House
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALTON E STATON (PROGRAM MANAGER)
(252) 946-7094
Entity
Organization
Contact information
Practice address
619 PLANT ST, WASHINGTON, NC 27889-4100
(252) 946-7094
Mailing address
619 PLANT ST, WASHINGTON, NC 27889-4100
(252) 946-7094
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-007-005
NC
Other
Enumeration date
03/06/2007
Last updated
08/22/2020
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