Organization
MPKG RESTORING FAMILIES EFFECTIVELY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARISSA D PAUL (ORGANIZER)
(336) 512-6502
Entity
Organization
Contact information
Practice address
236 N MEBANE ST STE 107, BURLINGTON, NC 27217-3900
(336) 512-6502
(336) 227-5534
Mailing address
1114 SHAW ST, BURLINGTON, NC 27217-1545
(336) 285-8577
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
05/05/2018
Last updated
09/12/2019
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