Organization
DDC GROUP HOME MANAGEMENT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY D DICKSON (OWNER)
(919) 329-9316
Entity
Organization
Contact information
Practice address
159 MONTGOMERY HEIGHTS RD, SELMA, NC 27576-6407
(919) 351-3134
(919) 329-9445
Mailing address
53 LINE DR, RALEIGH, NC 27603-7433
(919) 329-9316
(919) 329-9445
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-051-143
NC
Other
Enumeration date
01/02/2007
Last updated
08/22/2020
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