Organization
REGINA'S TOUCH
Active
Other names
none
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA YOLANDA HAYNES (OWNER)
(910) 875-0136
Entity
Organization
Contact information
Practice address
1306 MCNEILL FARM RD, RAEFORD, NC 28376
(910) 875-0136
(910) 875-0137
Mailing address
PO BOX 844, RAEFORD, NC 28376-0844
(910) 875-0136
(910) 875-0137
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL047088
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805162
—
NC
Enumeration date
03/19/2008
Last updated
08/26/2008
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