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Organization

POSITIVE STEPS RESIDENTIAL SERVICES #2

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. NIKA TAYLOR POWELL ADMINISTRATOR (OWNER)
(252) 567-3461
Entity
Organization

Contact information

Practice address
115 WYE ST, ROCKY MOUNT, NC 27801-5679
(252) 567-3461
Mailing address
748 NC HIGHWAY 33 E, TARBORO, NC 27886-8927
(252) 567-3461

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-033-57
NC

Other

Enumeration date
03/10/2009
Last updated
03/10/2009
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