Organization
WOODED ACRES #5
Active
Organization
WOODED ACRES #5
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM HARDISON (ADMINISTRATOR)
(252) 946-2324
Entity
Organization
Contact information
Practice address
3634 CHERRY ROAD, WASHINGTON, NC 27889-7268
(252) 946-8294
Mailing address
3706 CHERRY RD, WASHINGTON, NC 27889-7268
(252) 946-8294
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-007-064
NC
Other
Enumeration date
02/28/2008
Last updated
02/28/2008
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