Organization
POSITIVE REINFORCEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHELTON LEON MELVIN AP, BS (CHEIF EXECTIVE OFFICER)
(910) 425-7391
Entity
Organization
Contact information
Practice address
3311 LAKE BEND DR, FAYETTEVILLE, NC 28311-7661
(910) 425-7391
(910) 484-1704
Mailing address
3311 LAKE BEND DR, FAYETTEVILLE, NC 28311-7661
(910) 425-7391
(910) 484-1704
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-009-027
NC
Other
Enumeration date
02/09/2007
Last updated
08/14/2008
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