Organization
GOOD DEEDS
Active
Other names
SHANICHA
Organization subpart
No
Provider details
NPI number
Authorized official
SHANICHA LYNETTE MCNEIL (OWNER)
(910) 322-4506
Entity
Organization
Contact information
Practice address
381 NORTHWOODS DR, RAEFORD, NC 28376-6217
(910) 322-4506
(910) 717-6270
Mailing address
P.O.BOX 64042, FAYETTEVILLE, NC 28306-8587
(910) 322-4506
(910) 717-6270
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-047-110
NC
Other
Enumeration date
04/28/2008
Last updated
08/29/2008
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