Organization
MILESTONE THERAPEUTIC CARE RESIDENTIAL SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CURTIS LEE SPELLER AS (OWNER/PRESIDENT)
(919) 606-5654
Entity
Organization
Contact information
Practice address
505 BELLEFONT CT, KNIGHTDALE, NC 27545-8797
(919) 606-5654
(919) 255-9257
Mailing address
505 BELLEFONT CT, KNIGHTDALE, NC 27545-8797
(919) 606-5654
(919) 255-9257
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-092-601
NC
Other
Enumeration date
07/11/2007
Last updated
09/06/2023
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