Organization
KIDS' RESIDENTIAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BRITTANY MARIE COOPER C.H.E.S. (PRESIDENT/EXECUTIVE DIRECTOR)
(910) 829-7184
Entity
Organization
Contact information
Practice address
114 GREENHOUSE LN, SOUTHERN PINES, NC 28387-3140
(910) 496-0661
(910) 829-0088
Mailing address
PO BOX 429, FAYETTEVILLE, NC 28302-0429
(910) 829-7184
(910) 829-0088
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL-063-017
NC
Other
Enumeration date
06/25/2010
Last updated
03/25/2013
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