Organization
AMBLESIDE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS FINLEY (VP OPERATIONS)
(252) 747-5252
Entity
Organization
Contact information
Practice address
1 INDUSTRIAL DR, SNOW HILL, NC 28580-1334
(252) 747-5252
(252) 747-4244
Mailing address
1 INDUSTRIAL DR, SNOW HILL, NC 28580-1334
(252) 747-5252
(252) 747-4244
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-054-033
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603338
—
NC
Enumeration date
04/03/2007
Last updated
08/22/2020
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