Organization
MCEACHIN TREATMENT FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GALE VALENCIA RAY (DIRECTOR)
(910) 261-4553
Entity
Organization
Contact information
Practice address
10218 FAYETTEVILLE ROAD, RAEFORD, NC 28376
(910) 848-0355
Mailing address
6183 TIMBERLAND DR, FAYETTEVILLE, NC 28314-2185
(910) 868-1639
(910) 848-0459
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-047-080
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603846
—
NC
Enumeration date
03/15/2007
Last updated
08/22/2020
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