Organization
MISSION 360 LLC
Active
Organization
MISSION 360 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN R BOWDEN (OWNER / PRESIDENT)
(336) 515-5133
Entity
Organization
Contact information
Practice address
401 HOMESTEAD DR, GIBSONVILLE, NC 27249-2005
(336) 515-5133
Mailing address
210 OBSIDIUM CT, GIBSONVILLE, NC 27249-2973
(336) 516-5513
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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