Organization
C WOOD
Active
Organization
C WOOD
Active
Other names
C-WOOD
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA WATFORD CHAMBLEE BA (OWNER/CEO)
(252) 794-6563
Entity
Organization
Contact information
Practice address
117 COOPER HILL RD, WINDSOR, NC 27983-8505
(252) 794-6563
Mailing address
117 COOPER HILL RD, WINDSOR, NC 27983-8505
(252) 794-6563
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/23/2007
Last updated
05/15/2008
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