Organization
WITH A PURPOSE FAMILY CARE, INC
Active
Other names
With A Purpose Family Care #2 Woody House
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH MAE SMITH MSW (ADMINISTRATOR/QUALIFIED PROFESSIONA)
(919) 709-6340
Entity
Organization
Contact information
Practice address
863 BLACK HARPER RD, KINSTON, NC 28504-7042
(252) 527-5271
(252) 566-9440
Mailing address
6257 ROBERTS DR, LA GRANGE, NC 28551-6805
(919) 709-6340
(252) 566-9440
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-054-175
NC
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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