Organization
C&D ENTERPRISES OF NC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARLENE REAVES (OWNER)
(910) 583-5299
Entity
Organization
Contact information
Practice address
1303 RAMSEY ST, FAYETTEVILLE, NC 28301-4403
(910) 583-5299
Mailing address
1303 RAMSEY ST, FAYETTEVILLE, NC 28301-4403
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-026-802
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408351
—
NC
05
—
6601339
—
NC
Enumeration date
02/09/2007
Last updated
08/22/2020
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