Organization
SELF DETERMINATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE JEFFRIES (OWNER)
(828) 754-1889
Entity
Organization
Contact information
Practice address
1023 BRAMBLEWOOD CT NE, LENOIR, NC 28645-3835
(828) 754-1889
Mailing address
1023 BRAMBLEWOOD CT NE, LENOIR, NC 28645-3835
(828) 754-1889
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
014082
NC
Other
Enumeration date
01/30/2015
Last updated
01/30/2015
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