Organization
PREMIER RESIDENTIAL FOR KIDS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EBONY P SMITH (OWNER/DIRECTOR)
(336) 407-0424
Entity
Organization
Contact information
Practice address
516 REVERE RD, HILLSBOROUGH, NC 27278-2089
(919) 241-4557
Mailing address
516A REVERE ROAD, HILLSBOROUGH, NC 27278
(919) 241-4557
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-068-144
NC
Other
Enumeration date
03/04/2010
Last updated
06/20/2018
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