Organization
MITCHELL AND CRANDELL FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY MITCHELL (OWNER)
(252) 825-9887
Entity
Organization
Contact information
Practice address
7238 MAIN STREET, BETHEL, NC 27812-0982
(252) 825-9887
Mailing address
PO BOX 982, BETHEL, NC 27812-0982
(252) 825-9887
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-074-186
NC
Other
Enumeration date
12/03/2007
Last updated
12/03/2007
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