Organization
GOLDEN OPPORTUNITY HOMES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE MAXINE COLEMAN (ADMNISTRATIVE DIRECTOR)
(910) 797-5154
Entity
Organization
Contact information
Practice address
514 MCKOY ST, CLINTON, NC 28328-2517
(910) 592-5537
(910) 482-4665
Mailing address
PO BOX 9279, FAYETTEVILLE, NC 28311-9083
(910) 488-8777
(910) 482-4665
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-082-061
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6604046
—
NC
Enumeration date
02/16/2007
Last updated
08/22/2020
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