Organization
INFINITY OPTIONS RESIDENTIAL FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON DENISE EVANS M.A.ED (OWNER)
(252) 258-3940
Entity
Organization
Contact information
Practice address
122 FLETCHER PL, GREENVILLE, NC 27858-4723
(252) 329-9121
Mailing address
201 HICKORY BRANCHES CLOSE, WINTERVILLE, NC 28590-9210
(252) 752-4814
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-074-147
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603821
—
NC
Enumeration date
03/01/2007
Last updated
08/22/2020
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